About Smiles Dental, Llc

NPI 1184061582 - Clinic/Center - 261QD0000X

NPI Details
NPI 1184061582
Enumeration Date 05/27/2013
Last Updated 05/28/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SVETLANA KONSTANTINOVNA SVETLANA
Position OWNER
Phone (701) 356-4077
Fax (701) 356-2108
Practice Location
4575 23RD AVE S STE 1200
FARGO ND, 58104-8784, US
Phone (701) 356-4077
Fax (701) 356-2108
Business Location
4575 23RD AVE S STE 1200
FARGO ND, 58104-8784, US
Phone (701) 356-4077
Fax (701) 356-2108
Toxanomy
Taxonomy Code 261QD0000X
License State North Dakota
License Number 2105
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According to our database, About Smiles Dental, Llc NPI is 1184061582, taxonomy code is 261QD0000X and license number is 2105, license state is located at North Dakota. About Smiles Dental, Llc physically located at 4575 23rd Ave S Ste 1200, Fargo ND, 58104-8784. NPI Number 1033115704 has the healthcare provider type.

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1184061582 NPI number is provided on an as is basis without warranty of any kind. 1184061582 is maintained by the National Plan & Provider Enumeration System. The contents of About Smiles Dental, Llc are for informational purposes only.