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Forest Lake Smiles, Pa
Dental Clinic/Center in Forest Lake, Minnesota
NPI 1699238139

Forest Lake Smiles, Pa is a Dental Clinic/Center based in North Branch, MN and is specialized in Dental. Forest Lake Smiles, Pa practices in Forest Lake, MN. The NPI Number for Forest Lake Smiles, Pa is 1699238139 and holds a License No. (Minnesota).

The current practice location address for Forest Lake Smiles, Pa is 1068 Lake St S, Forest Lake, MN and can be reached out via phone at 651-464-8207.

Location: 1068 Lake St S, Forest Lake, MN, 55056-0220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699238139
Provider Name
Forest Lake Smiles, Pa
Credential
Provider Entity Type
Organization
Address
1068 Lake St S, Forest Lake, MN, 55056-0220
Phone Number
651-464-8207
Fax Number
Provider Enumeration Date
04/11/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NONE 01 NONE
institution
Provider Business Practice Location Address Details
Address
1068 Lake St S
City
Forest Lake
State
Minnesota
Zip
55025-2639
Phone Number
651-464-8207
Fax Number
person
Provider Business Mailing Address Details
Address
1068 Lake St S
City
Forest Lake
State
Minnesota
Zip
55025-2639
Phone Number
651-464-8207
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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