White Bear Smiles, P.a.
NPI #1396202917 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1396202917
- Entity Type
- Organization
- Organization Name
- White Bear Smiles, P.a.
- Primary Specialty
- Dentist
- Enumeration Date
- Mar 1, 2019
- Last Updated
- Mar 1, 2019
Practice Location
- Address
- 4778 BANNING AVE
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-3264
- Phone
- (651) 426-8998
Authorized Official
- Name
- DR. PAUL DANIEL ANDERSON, DDS
- Title
- PRESIDENT
- Phone
- (651) 426-8998
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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