Smile Design Dentistry, Pllc | |
3475 Plymouth Blvd 100 Plymouth MN 55447-1499 | |
(763) 537-1238 | |
(763) 537-4627 |
Full Name | Smile Design Dentistry, Pllc |
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Speciality | Dentist - General Practice |
Location | 3475 Plymouth Blvd, Plymouth, Minnesota |
Authorized Official Name and Position | Corey Jensen (OWNER) |
Authorized Official Contact | 7635371238 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Smile Design Dentistry, Pllc 3475 Plymouth Blvd 100 Plymouth MN 55447-1499 Ph: (763) 537-1238 | Smile Design Dentistry, Pllc 3475 Plymouth Blvd 100 Plymouth MN 55447-1499 Ph: (763) 537-1238 |
NPI Number | 1023314564 |
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Provider Enumeration Date | 02/01/2011 |
Last Update Date | 02/01/2011 |
Identifier | Type | State | Issuer |
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1023314564 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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