Smiles for Life
NPI #1275201782 in Saint Louis Park, Minnesota
Provider Information
- NPI Number
- 1275201782
- Entity Type
- Organization
- Organization Name
- Smiles for Life
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 31, 2021
- Last Updated
- Sep 1, 2021
Practice Location
- Address
- 5009 EXCELSIOR BLVD STE 124
- City
- Saint Louis Park
- State
- Minnesota
- ZIP Code
- 55416-3040
- Phone
- (952) 926-0020
Authorized Official
- Name
- DR. SUSAN GROSS, DDS
- Title
- DENTIST
- Phone
- (612) 309-9713
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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