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Organization
ALL SMILES DENTAL PA
Active
Organization
ALL SMILES DENTAL PA
Active
Other names
All Smiles Dental
Organization subpart
No
Provider details
NPI number
Authorized official
NAM PHAM (CEO)
(952) 239-5072
Entity
Organization
Contact information
Practice address
212 CLYDESDALE TRL, MEDINA, MN 55340-4513
(952) 239-5072
Mailing address
8812 138TH ST W, SAVAGE, MN 55378-3130
(952) 239-5951
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11353
MN
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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