| Plymouth Smiles Dentistry, Pc | |
|
3405 Vicksburg Ln N Ste 120 Plymouth MN 55447-1370 | |
| (763) 390-2414 | |
| (763) 290-6811 |
| Full Name | Plymouth Smiles Dentistry, Pc |
|---|---|
| Speciality | Dentist |
| Location | 3405 Vicksburg Ln N Ste 120, Plymouth, Minnesota |
| Authorized Official Name and Position | Parvathi Jithendrana (OWNER) |
| Authorized Official Contact | 7633902614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plymouth Smiles Dentistry, Pc Po Box 920050 Dallas TX 75392-0050 Ph: (763) 390-2414 | Plymouth Smiles Dentistry, Pc 3405 Vicksburg Ln N Ste 120 Plymouth MN 55447-1370 Ph: (763) 390-2414 |
| NPI Number | 1508574773 |
|---|---|
| Provider Enumeration Date | 11/07/2022 |
| Last Update Date | 11/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508574773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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