| Blaine Orthodontics | |
|
10945 Club West Pkwy Blaine MN 55449-6253 | |
| (763) 400-8992 | |
| Not Available |
| Full Name | Blaine Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10945 Club West Pkwy, Blaine, Minnesota |
| Authorized Official Name and Position | Tamara Smith (ORTHODONTIST) |
| Authorized Official Contact | 7634008992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blaine Orthodontics 10945 Club West Pkwy Blaine MN 55449-6253 Ph: (763) 400-8992 | Blaine Orthodontics 10945 Club West Pkwy Blaine MN 55449-6253 Ph: (763) 400-8992 |
| NPI Number | 1659031854 |
|---|---|
| Provider Enumeration Date | 12/29/2021 |
| Last Update Date | 12/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659031854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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