Organization
FOREVER SMILES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BAUER (OFFICE MANAGER)
(320) 864-3129
Entity
Organization
Contact information
Practice address
503 W MAIN ST, ARLINGTON, MN 55307-2133
(507) 964-2748
(507) 964-2707
Mailing address
1015 GREELEY AVE N, GLENCOE, MN 55336-2129
(320) 864-3129
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D12456
MN
Other
Enumeration date
04/18/2018
Last updated
07/09/2019
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