Plymouth Smiles Dentistry, PC

NPI #1508574773 in Plymouth, Minnesota

Provider Information

NPI Number: 1508574773
Entity Type: Organization
Organization Name: Plymouth Smiles Dentistry, PC
Primary Specialty: Dentist
Enumeration Date: Nov 7, 2022
Last Updated: Nov 7, 2022

Practice Location

Address: 3405 VICKSBURG LN N STE 120
City: Plymouth
State: Minnesota
ZIP Code: 55447-1370
Phone: (763) 390-2414

Authorized Official

Name: PARVATHI JITHENDRANA
Title: OWNER
Phone: (763) 390-2614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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