Organization
ALL SMILES DENTAL PA
Active
Other names
All Smiles Dental
Organization subpart
No
Provider details
NPI number
Authorized official
NAM PHAM (CEO)
(952) 239-5072
Entity
Organization
Contact information
Practice address
212 CLYDESDALE TRL, MEDINA, MN 55340-4513
(952) 239-5072
Mailing address
8812 138TH ST W, SAVAGE, MN 55378-3130
(952) 239-5951
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11353
MN
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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