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General NPI Number Information
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NPI Number | 1982538690
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Entity Type | Organization
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Legal Business Name | FAMILY SMILES-BURNSVILLE PLLC
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 3825 CEDAR GROVE PKWY STE 1101
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City | EAGAN
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State | MN
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Zip | 55122-1469
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Country | US
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Telephone | 952-905-9090
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Fax | 952-892-5542
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Provider Business Mailing Address
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Address Line | 3825 CEDAR GROVE PKWY STE 1101
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City | EAGAN
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State | MN
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Zip | 55122-1469
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VALMORE MALSKIS
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Credential |
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Telephone | 952-892-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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