| Centennial Lakes Orthodontics Pllc | |
|
7373 France Ave S Ste 400 Edina MN 55435-4549 | |
| (952) 831-1324 | |
| Not Available |
| Full Name | Centennial Lakes Orthodontics Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 7373 France Ave S Ste 400, Edina, Minnesota |
| Authorized Official Name and Position | Stephen Colby (OWNER) |
| Authorized Official Contact | 9528311324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centennial Lakes Orthodontics Pllc 7373 France Ave S Ste 400 Edina MN 55435-4549 Ph: (952) 831-1324 | Centennial Lakes Orthodontics Pllc 7373 France Ave S Ste 400 Edina MN 55435-4549 Ph: (952) 831-1324 |
| NPI Number | 1457979031 |
|---|---|
| Provider Enumeration Date | 07/09/2020 |
| Last Update Date | 07/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457979031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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