Overview
Name: SMILES FOR LIFE
Specialty: Dental Clinic/Center
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities
Classification: Clinic/Center
Specialization: Dental.
Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: SMILES FOR LIFE,5009 EXCELSIOR BLVD STE 124,SAINT LOUIS PARK,MN,554163040,US
Mailing Address: SMILES FOR LIFE,5009 EXCELSIOR BLVD STE 124,SAINT LOUIS PARK,MN,554163040,US
Contact #
Practice location phone #: 9529260020
Practice location fax #:
Mailing address Phone #: 9529260020
Mailing Address fax #:
Authorized official Name/Telephone #:DR., SUSAN, GROSS, DDS, DENTIST 6123099713
Misc
Date NPI was obtained: 08/31/2021
Last data data was updated: 09/01/2021
Insurances: