Individual
SARA M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
636 BROADWAY ST NE, MINNEAPOLIS, MN 55413
(612) 746-1530
(612) 746-1531
Mailing address
636 BROADWAY ST NE, MINNEAPOLIS, MN 55413
(612) 746-1530
(612) 746-1531
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
H8721
MN
Other
Enumeration date
05/31/2018
Last updated
06/20/2018
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