Organization
SMILE THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNA MOORE (MANAGER)
(507) 782-1420
Entity
Organization
Contact information
Practice address
3544 3RD AVE S, MINNEAPOLIS, MN 55408-4524
(507) 782-1420
Mailing address
3544 3RD AVE S, MINNEAPOLIS, MN 55408-4524
(507) 782-1420
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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