Northland Smiles Corporation PA

NPI #1043567357 in Deerwood, Minnesota

Provider Information

NPI Number
1043567357
Entity Type
Organization
Organization Name
Northland Smiles Corporation PA
Primary Specialty
Clinic/Center
Enumeration Date
Aug 7, 2012
Last Updated
Aug 7, 2012

Practice Location

Address
21343 ARCHIBALD ROAD
ZIP Code
56444
Phone
(218) 534-3141

Authorized Official

Name
DR. KENDALL LEWIS DAMMEIER
Title
OWNER
Phone
(218) 534-3141

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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