| Mystics Smiles | |
|
210 W Century Ave Bismarck ND 58503-1494 | |
| (701) 224-2644 | |
| Not Available |
| Full Name | Mystics Smiles |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 210 W Century Ave, Bismarck, North Dakota |
| Authorized Official Name and Position | Heidi Kainoa (DENTAL CLINIC MANAGER) |
| Authorized Official Contact | 7012242644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mystics Smiles 210 W Century Ave Bismarck ND 58503-1494 Ph: (701) 224-2644 | Mystics Smiles 210 W Century Ave Bismarck ND 58503-1494 Ph: (701) 224-2644 |
| NPI Number | 1285450544 |
|---|---|
| Provider Enumeration Date | 12/02/2024 |
| Last Update Date | 12/10/2024 |
| Certification Date | 12/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285450544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Primary |
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