Forest Lake Smiles, PA
NPI #1699238139 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1699238139
- Entity Type
- Organization
- Organization Name
- Forest Lake Smiles, PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 11, 2019
- Last Updated
- Apr 11, 2019
Practice Location
- Address
- 1068 LAKE ST S
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-2639
- Phone
- (651) 464-8207
Authorized Official
- Name
- SARAH BURT
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (651) 243-5999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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