| All Smiles Dental Pa | |
| 
					212 Clydesdale Trl Medina MN 55340-4513  | |
| (952) 239-5072 | |
| Not Available | 
| Full Name | All Smiles Dental Pa | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 212 Clydesdale Trl, Medina, Minnesota | 
| Authorized Official Name and Position | Nam Pham (CEO) | 
| Authorized Official Contact | 9522395072 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| All Smiles Dental Pa 8812 138th St W Savage MN 55378-3130 Ph: (952) 239-5951  | All Smiles Dental Pa 212 Clydesdale Trl Medina MN 55340-4513 Ph: (952) 239-5072  | 
| NPI Number | 1922526334 | 
|---|---|
| Provider Enumeration Date | 09/06/2017 | 
| Last Update Date | 09/06/2017 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922526334 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D11353 (Minnesota) | Primary | 
Mg Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 872 Highway 55 Ste 100, Medina, MN 55340 Phone: 763-363-1006  |