White Bear Lake Orthodontics
NPI #1730782467 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1730782467
- Entity Type
- Organization
- Organization Name
- White Bear Lake Orthodontics
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Nov 17, 2020
- Last Updated
- Nov 17, 2020
Practice Location
- Address
- 4437 LAKE AVE S
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-3455
- Phone
- (763) 999-0055
Authorized Official
- Name
- TAMARA SMITH, DDS, MSD
- Title
- OWNER/ORTHODONTIST
- Phone
- (763) 999-0055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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