Imagine Smiles

NPI #1174133698 in Blaine, Minnesota

Provider Information

NPI Number
1174133698
Entity Type
Organization
Organization Name
Imagine Smiles
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 10, 2020
Last Updated
Aug 10, 2020

Practice Location

Address
10729 TOWN SQUARE DRIVE NE
Address 2
SUITE 150
City
Blaine
ZIP Code
55449
Phone
(763) 269-8650

Authorized Official

Name
KELLY NOYE
Title
FINANCIAL COORDINATOR
Phone
(763) 269-8650

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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