Organization
IMAGINE SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY NOYE (FINANCIAL COORDINATOR)
(763) 269-8650
Entity
Organization
Contact information
Practice address
10729 TOWN SQUARE DRIVE NE, SUITE 150, BLAINE, MN 55449
(763) 269-8650
(763) 201-3377
Mailing address
10729 TOWN SQUARE DRIVE NE, SUITE 150, BLAINE, MN 55449
(763) 269-8650
(763) 201-3377
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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