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Organization
LIFESMILES FAMILY DENTISTRY, PLLC
Active
Organization
LIFESMILES FAMILY DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HUOT DDS (OWNER)
(651) 238-1366
Entity
Organization
Contact information
Practice address
8100 PENN AVE S STE 172, BLOOMINGTON, MN 55431-1325
(952) 884-8337
Mailing address
8100 PENN AVE S STE 172, BLOOMINGTON, MN 55431-1325
(952) 884-8337
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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