Organization
SILVER LAKE SMILES FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ONG (OWNER)
(651) 356-5424
Entity
Organization
Contact information
Practice address
2370 PALMER DRIVE, NEW BRIGHTON, MN 55112
(651) 356-5424
Mailing address
2370 PALMER DRIVE, NEW BRIGHTON, MN 55112
(651) 356-5424
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
02/06/2020
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