West Central Smiles PA

NPI #1326291790 in Morris, Minnesota

Provider Information

NPI Number: 1326291790
Entity Type: Organization
Organization Name: West Central Smiles PA
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Oct 29, 2008
Last Updated: Nov 9, 2013

Practice Location

Address: 206 ATLANTIC AVE
City: Morris
State: Minnesota
ZIP Code: 56267-1321
Phone: (320) 235-3102

Authorized Official

Name: JEREMY JOHNSON
Title: DR./CEO
Phone: (320) 235-3102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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