Cottage Grove Smiles Dentistry, PC
NPI #1093495574 in Cottage Grove, Minnesota
Provider Information
- NPI Number
- 1093495574
- Entity Type
- Organization
- Organization Name
- Cottage Grove Smiles Dentistry, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 20, 2023
- Last Updated
- Jul 20, 2023
Practice Location
- Address
- 7240 E POINT DOUGLAS RD S STE 150
- City
- Cottage Grove
- State
- Minnesota
- ZIP Code
- 55016-3021
- Phone
- (651) 352-4628
Authorized Official
- Name
- THOMAS MORIEN, DDS
- Title
- OWNER
- Phone
- (651) 352-4628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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