| The Smile Center | |
|
195 Jefferson Blvd Big Lake MN 55309-9572 | |
| (763) 263-2222 | |
| (763) 263-5822 |
| Full Name | The Smile Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 195 Jefferson Blvd, Big Lake, Minnesota |
| Authorized Official Name and Position | Thanh H Pham (OWNER) |
| Authorized Official Contact | 7632632222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Smile Center 195 Jefferson Blvd Big Lake MN 55309-9572 Ph: (763) 263-2222 | The Smile Center 195 Jefferson Blvd Big Lake MN 55309-9572 Ph: (763) 263-2222 |
| NPI Number | 1013069012 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013069012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D11353 (Minnesota) | Primary |
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