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Individual

DR. MICHAEL D SMILANICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
11231 AQUILA DR N, CHAMPLIN, MN 55316
(763) 275-1318
(763) 400-9184
Mailing address
11231 AQUILA DR N, CHAMPLIN, MN 55316
(763) 275-1318
(763) 400-9184

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9510
MN
1223G0001X
General Practice Dentistry
3281WI
WI

Other

Enumeration date
06/14/2007
Last updated
04/26/2016
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