| Dentalign, Pa | |
|
11942 Business Park Blvd Champlin MN 55316 | |
| (763) 421-9131 | |
| Not Available |
| Full Name | Dentalign, Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 11942 Business Park Blvd, Champlin, Minnesota |
| Authorized Official Name and Position | Chad Kelly (PRESIDENT) |
| Authorized Official Contact | 7634201030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentalign, Pa 4630 Edgebrook Place Edina MN 55424 Ph: (612) 701-0478 | Dentalign, Pa 11942 Business Park Blvd Champlin MN 55316 Ph: (763) 421-9131 |
| NPI Number | 1598300675 |
|---|---|
| Provider Enumeration Date | 11/12/2019 |
| Last Update Date | 11/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598300675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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