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Organization
LIFESMILES DENTAL LLC
Active
Organization
LIFESMILES DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMI MCROBERTS (OFFICE MANAGER)
(218) 739-2481
Entity
Organization
Contact information
Practice address
321 WESTERN AVE, FERGUS FALLS, MN 56537
(218) 739-2481
(218) 739-2178
Mailing address
321 WESTERN AVE, FERGUS FALLS, MN 56537
(218) 739-2481
(218) 739-2178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1420707
MN
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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