Smile Eden Prairie

NPI #1528537768 in Eden Prairie, Minnesota

Provider Information

NPI Number: 1528537768
Entity Type: Organization
Organization Name: Smile Eden Prairie
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 16, 2018
Last Updated: Nov 16, 2018

Practice Location

Address: 6600 CITY W. PKWY #315
City: Eden Prairie
State: Minnesota
ZIP Code: 55344
Phone: (952) 941-9829

Authorized Official

Name: DR. MELISSA S ZETTLER, DDS
Title: OFFICER
Phone: (612) 558-5919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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