Organization
DENTAL SERVICES INC
Active
Other names
The Smile Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THANH H PHAM DDS (OWNER)
(763) 263-2222
Entity
Organization
Contact information
Practice address
195 JEFFERSON BLVD, BIG LAKE, MN 55309-9572
(763) 263-2222
(763) 263-5822
Mailing address
195 JEFFERSON BLVD, BIG LAKE, MN 55309-9572
(763) 263-2222
(763) 263-5822
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11353
MN
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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