institution
Custom Smiles Dentistry, Pllc
Dental Clinic/Center in Andover, Minnesota
NPI 1528678497

Custom Smiles Dentistry, Pllc is a Dental Clinic/Center based in Andover, MN and is specialized in Dental. Custom Smiles Dentistry, Pllc practices in Andover, MN. The NPI Number for Custom Smiles Dentistry, Pllc is 1528678497 and holds a License No. (Minnesota).

The current practice location address for Custom Smiles Dentistry, Pllc is 2258 Bunker Lake Blvd Nw, Andover, MN and can be reached out via phone at 763-390-8995 and via fax at 763-390-8999. You can also correspond with Custom Smiles Dentistry, Pllc through the mailing address at 2258 BUNKER LAKE BLVD NW, ANDOVER, MN - 55304-3900 (mailing address contact number: 763-390-8995).

Location: 2258 Bunker Lake Blvd Nw, Andover, MN, 55304-3900
institution
Provider Profile Details
NPI Number
1528678497
Provider Name
Custom Smiles Dentistry, Pllc
Credential
Provider Entity Type
Organization
Address
2258 Bunker Lake Blvd Nw, Andover, MN, 55304-3900
Phone Number
763-390-8995
Fax Number
763-390-8999
Provider Enumeration Date
08/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2258 Bunker Lake Blvd Nw
City
State
Zip
55304-3900
Phone Number
763-390-8995
Fax Number
763-390-8999
person
Provider Business Mailing Address Details
Address
2258 Bunker Lake Blvd Nw
City
State
Zip
55304-3900
Phone Number
763-390-8995
Fax Number
763-390-8999
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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