Organization
THERESA M. SNELL
Active
Other names
Silver Lake Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA M. SNELL DDS (OWNER)
(651) 633-6087
Entity
Organization
Contact information
Practice address
580 5TH AVE NW STE 100, NEW BRIGHTON, MN 55112-2836
(651) 633-6087
Mailing address
580 5TH AVE NW STE 100, NEW BRIGHTON, MN 55112-2836
(651) 633-6087
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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