NPI 1326291790

West Central Smiles PA

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Morris, MN

Practice location

Address: 206 Atlantic Ave, Morris, MN 56267-1321
Phone: (320) 235-3102
Mailing address: 1100 19th Ave SW Suite 1, Willmar, MN 56201-5288

Authorised official

Name: Jeremy Johnson
Title: Dr./Ceo
Phone: (320) 235-3102

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X

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Registry record

NPI: 1326291790
Entity type: Organization
NPI issued: 29 Oct 2008
Record last updated: 9 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.