Smile Design Dentistry, Pllc

NPI #1023314564 in Plymouth, Minnesota

Provider Information

NPI Number: 1023314564
Entity Type: Organization
Organization Name: Smile Design Dentistry, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 1, 2011
Last Updated: Feb 1, 2011

Practice Location

Address: 3475 PLYMOUTH BLVD
Address 2: 100
City: Plymouth
State: Minnesota
ZIP Code: 55447-1499
Phone: (763) 537-1238

Authorized Official

Name: DR. COREY JENSEN, D.D.S.
Title: OWNER
Phone: (763) 537-1238

Specialties & Taxonomy Codes

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

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