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Organization

SMILE DESIGN FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL CLINTON BECKER DDS (PRESIDENT)
(651) 454-4771
Entity
Organization

Contact information

Practice address
1121 TOWN CENTRE DR STE 200, EAGAN, MN 55123-1217
(651) 454-4771
Mailing address
1121 TOWN CENTRE DR STE 200, EAGAN, MN 55123-1217
(651) 454-4771

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9788
MN

Other

Enumeration date
05/23/2007
Last updated
07/25/2007
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