| Smile Design Family Dentistry | |
|
1121 Town Centre Dr Ste 200 Eagan MN 55123-1217 | |
| (651) 454-4771 | |
| Not Available |
| Full Name | Smile Design Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1121 Town Centre Dr Ste 200, Eagan, Minnesota |
| Authorized Official Name and Position | Paul Clinton Becker (PRESIDENT) |
| Authorized Official Contact | 6514544771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Design Family Dentistry 1121 Town Centre Dr Ste 200 Eagan MN 55123-1217 Ph: (651) 454-4771 | Smile Design Family Dentistry 1121 Town Centre Dr Ste 200 Eagan MN 55123-1217 Ph: (651) 454-4771 |
| NPI Number | 1437369105 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 07/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437369105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9788 (Minnesota) | Primary |
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