Lifesmiles Family Dentistry, Pllc
NPI #1083398374 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1083398374
- Entity Type
- Organization
- Organization Name
- Lifesmiles Family Dentistry, Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 15, 2023
- Last Updated
- Jun 15, 2023
Practice Location
- Address
- 8100 PENN AVE S STE 172
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55431-1325
- Phone
- (952) 884-8337
Authorized Official
- Name
- ROBERT HUOT, DDS
- Title
- OWNER
- Phone
- (651) 238-1366
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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