Organization · Type 2 NPI
Imagine Smiles
Dental Clinic/Center · Blaine, MN
NPI number
1174133698
Active
Practice location
10729 Town Square Drive NE, Suite 150
Blaine, MN 55449
Fax (763) 201-3377
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Blaine
About NPI 1174133698
Imagine Smiles's National Provider Identifier is 1174133698, issued on Aug 10, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Blaine, MN. The record was last updated on Aug 10, 2020.