| Theresa M. Snell | |
|
580 5th Ave Nw Ste 100 New Brighton MN 55112-2836 | |
| (651) 633-6087 | |
| Not Available |
| Full Name | Theresa M. Snell |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 580 5th Ave Nw Ste 100, New Brighton, Minnesota |
| Authorized Official Name and Position | Theresa M. Snell (OWNER) |
| Authorized Official Contact | 6516336087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa M. Snell 580 5th Ave Nw Ste 100 New Brighton MN 55112-2836 Ph: (651) 633-6087 | Theresa M. Snell 580 5th Ave Nw Ste 100 New Brighton MN 55112-2836 Ph: (651) 633-6087 |
| NPI Number | 1033710025 |
|---|---|
| Provider Enumeration Date | 11/05/2020 |
| Last Update Date | 11/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033710025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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