Organization
CAMP SMILE ORTHODONTICS PLYMOUTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOBBI L AUGUSTYN DDS (OWNER)
(763) 383-1788
Entity
Organization
Contact information
Practice address
2805 CAMPUS DR STE 245, PLYMOUTH, MN 55441-2678
(763) 383-1788
Mailing address
2805 CAMPUS DR STE 245, PLYMOUTH, MN 55441-2678
(763) 383-1788
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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