Organization
COTTAGE GROVE SMILES DENTISTRY, PC
Active
Other names
Cottage Grove Smiles Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MORIEN DDS (OWNER)
(651) 352-4628
Entity
Organization
Contact information
Practice address
7240 E POINT DOUGLAS RD S STE 150, COTTAGE GROVE, MN 55016-3021
(651) 352-4628
(651) 359-2923
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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