Smisek, Gary Ralph
Smisek, Gary Ralph is an individual health care provider with primary practice located at 501 Tanglewood Dr , Shoreview MN 55126-2016. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Smisek, Gary Ralph can be contacted via phone (651) 483-6747.Contact Information
Primary practice address
501 Tanglewood Dr
Shoreview MN 55126-2016
Phone: (651) 483-6747
Fax: (707) 760-4579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7909 | Minnesota |
Profile Details
| NPI number | 1457322489 |
|---|---|
| LBN Legal business name | Smisek, Gary Ralph |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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