Spectrum Smiles LLC

NPI #1790531184 in Eagan, Minnesota

Provider Information

NPI Number
1790531184
Entity Type
Organization
Organization Name
Spectrum Smiles LLC
Primary Specialty
Clinic/Center
Enumeration Date
Apr 25, 2024
Last Updated
Apr 25, 2024

Practice Location

Address
860 BLUE GENTIAN RD STE 200
City
Eagan
ZIP Code
55121-1564
Phone
(612) 245-0436

Authorized Official

Name
NAJIB ISSE
Title
CEO
Phone
(612) 245-0436

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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