Custom Smiles Dentistry, PLLC
Custom Smiles Dentistry, PLLC is a Dental Clinic/Center in Andover, Minnesota. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2258 Bunker Lake Blvd NWAndover, MN 55304-3900
Phone: (763) 390-8995
Fax: (763) 390-8999
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1528678497 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Pao Chua Vang — Dentist · (763) 390-8995 |
| Other names | Custom Smiles Dentistry |
| NPI enumerated | August 5, 2020 |
| Last updated in NPPES | August 5, 2020 |
| Certification date | August 5, 2020 |
| Mailing address | 2258 Bunker Lake Blvd Nw, Andover, MN 55304-3900 |
Other providers in Andover
-
Ham Lake Dental PLLC
16220 Aberdeen St NE Ste A1, Andover, MN 55304-5421 · (763) 415-7831
-
Round Lake Family Dentistry, PLLC
13841 Round Lake Blvd NW, Andover, MN 55304-3664 · (763) 427-0285