Organization
SPECTRUM SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAJIB ISSE (CEO)
(612) 245-0436
Entity
Organization
Contact information
Practice address
860 BLUE GENTIAN ROAD #200, EAGAN, MN 55121-1564
(612) 245-0436
Mailing address
860 BLUE GENTIAN ROAD #200, EAGAN, MN 55121-1564
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
03/04/2026
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