Organization
PLYMOUTH SMILES DENTISTRY, PC
Active
Other names
PLYMOUTH SMILES DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
PARVATHI JITHENDRANA (OWNER)
(763) 390-2614
Entity
Organization
Contact information
Practice address
3405 VICKSBURG LN N STE 120, PLYMOUTH, MN 55447-1370
(763) 390-2414
(763) 290-6811
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(763) 390-2414
(763) 290-6811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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