Organization
CAMP SMILE PEDIATRIC DENTISTRY EXCELSIOR PLLC
Active
Other names
Camp Smile Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOBBI L AUGUSTYN DDS (OWNER)
(763) 383-1788
Entity
Organization
Contact information
Practice address
675 WATER ST STE 2, EXCELSIOR, MN 55331-3072
(763) 383-1788
Mailing address
675 WATER ST STE 2, EXCELSIOR, MN 55331-3072
(763) 383-1788
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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