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Organization
ASP DENTAL, PC
Active
Organization
ASP DENTAL, PC
Active
Parent organization
ASP DENTAL, PC
Other names
The Center for Smile Enhancement
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASP DENTAL, PC
Authorized official
ROBYN THEISEN (VP OF OPERATIONS)
(952) 250-3060
Entity
Organization
Contact information
Practice address
10500 WAYZATA BLVD, MINNETONKA, MN 55305-1511
(952) 593-9310
Mailing address
10500 WAYZATA BLVD, MINNETONKA, MN 55305-1511
(952) 593-9310
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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