Bates Orthodontics, Plc | |
14755 Victor Hugo Blvd N Ste 103 Hugo MN 55038 | |
(651) 429-0094 | |
Not Available |
Full Name | Bates Orthodontics, Plc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 14755 Victor Hugo Blvd N, Hugo, Minnesota |
Authorized Official Name and Position | Sean Patrick Bates (OWNER) |
Authorized Official Contact | 6513439182 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bates Orthodontics, Plc 14755 Victor Hugo Blvd N Ste 103 Hugo MN 55038 Ph: (651) 429-0094 | Bates Orthodontics, Plc 14755 Victor Hugo Blvd N Ste 103 Hugo MN 55038 Ph: (651) 429-0094 |
NPI Number | 1104430289 |
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Provider Enumeration Date | 09/04/2020 |
Last Update Date | 09/04/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104430289 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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