Individual
DR. RONALD MIICHAEL SMISEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
501 TANGLEWOOD DR, SHOREVIEW, MN 55126-2016
(651) 483-6747
(651) 483-1863
Mailing address
501 TANGLEWOOD DR, SHOREVIEW, MN 55126-2016
(651) 483-6747
(651) 483-1863
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9783
MN
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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