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Organization
EAGAN SMILES DENTISTRY, PC
Active
Organization
EAGAN SMILES DENTISTRY, PC
Active
Other names
Eagan Smiles Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL S GEBHART DDS (OWNER)
(651) 236-7458
Entity
Organization
Contact information
Practice address
3405 PROMENADE AVE, SUITE 300, EAGAN, MN 55123-4404
(651) 236-7458
(651) 405-6995
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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