Dental Services INC

NPI #1013069012 in Big Lake, Minnesota

Provider Information

NPI Number: 1013069012
Entity Type: Organization
Organization Name: Dental Services INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 18, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 195 JEFFERSON BLVD
City: Big Lake
State: Minnesota
ZIP Code: 55309-9572
Phone: (763) 263-2222

Authorized Official

Name: DR. THANH H PHAM, DDS
Title: OWNER
Phone: (763) 263-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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