| Serenity Dental Corporation | |
|
563 Beielberg Drive 210 Woodbury MN 55125 | |
| (651) 414-0208 | |
| (651) 414-0390 |
| Full Name | Serenity Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 563 Beielberg Drive, Woodbury, Minnesota |
| Authorized Official Name and Position | Cyrus Mahmoodi (OWNER) |
| Authorized Official Contact | 6514140208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Dental Corporation 563 Beielberg Drive 210 Woodbury MN 55125 Ph: (651) 414-0208 | Serenity Dental Corporation 563 Beielberg Drive 210 Woodbury MN 55125 Ph: (651) 414-0208 |
| NPI Number | 1659974665 |
|---|---|
| Provider Enumeration Date | 11/20/2020 |
| Last Update Date | 11/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659974665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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