Staples Smiles

NPI #1063172468 in Staples, Minnesota

Provider Information

NPI Number: 1063172468
Entity Type: Organization
Organization Name: Staples Smiles
Primary Specialty: Dentist
Enumeration Date: Dec 27, 2021
Last Updated: Jan 27, 2022

Practice Location

Address: 515 6TH ST NE
City: Staples
State: Minnesota
ZIP Code: 56479-2359
Phone: (218) 894-1941

Authorized Official

Name: DR. LUKE E WALN, DDS
Title: OWNER/DENTIST
Phone: (218) 963-6330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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