Camp Smile Orthodontics Chaska Pllc | |
111 Hundertmark Rd Ste 304n Chaska MN 55318-1587 | |
(763) 383-1788 | |
Not Available |
Full Name | Camp Smile Orthodontics Chaska Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 111 Hundertmark Rd Ste 304n, Chaska, Minnesota |
Authorized Official Name and Position | Bobbi L Augustyn (OWNER) |
Authorized Official Contact | 7633831788 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Camp Smile Orthodontics Chaska Pllc 2805 Campus Dr Ste 245 Plymouth MN 55441-2678 Ph: (763) 383-1788 | Camp Smile Orthodontics Chaska Pllc 111 Hundertmark Rd Ste 304n Chaska MN 55318-1587 Ph: (763) 383-1788 |
NPI Number | 1275124729 |
---|---|
Provider Enumeration Date | 01/28/2021 |
Last Update Date | 01/28/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275124729 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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