| Dentalign, Pa | |
|
10920 175th Court W Lakeville MN 55044 | |
| (952) 892-5300 | |
| (763) 420-5510 |
| Full Name | Dentalign, Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 10920 175th Court W, Lakeville, Minnesota |
| Authorized Official Name and Position | Chad H 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: (763) 420-1030 | Dentalign, Pa 10920 175th Court W Lakeville MN 55044 Ph: (952) 892-5300 |
| NPI Number | 1386489318 |
|---|---|
| Provider Enumeration Date | 07/01/2024 |
| Last Update Date | 07/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386489318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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