Organization
SMITH DENTAL CARE, P.A.
Active
Other names
Smith Dental Care, P.A., Smith Dental Care,P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MICHAEL SMITH DDS (OWNER)
(507) 455-1641
Entity
Organization
Contact information
Practice address
209 E MAIN ST, OWATONNA, MN 55060-3075
(507) 455-1641
(507) 455-2979
Mailing address
209 E MAIN ST, OWATONNA, MN 55060-3075
(507) 455-1641
(507) 455-2979
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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