| Dentalign, P.a | |
|
4630 Edgebrook Pl Edina MN 55424-1152 | |
| (763) 420-1030 | |
| (730) 420-5510 |
| Full Name | Dentalign, P.a |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4630 Edgebrook Pl, Edina, Minnesota |
| Authorized Official Name and Position | Chad Holly Kelly (PRESIDENT) |
| Authorized Official Contact | 7634201030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentalign, P.a 10617 France Avenue S Bloomington MN 55431 Ph: (763) 420-1030 | Dentalign, P.a 4630 Edgebrook Pl Edina MN 55424-1152 Ph: (763) 420-1030 |
| NPI Number | 1871837708 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871837708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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