| Ekim Orthodontics | |
|
625 E Nicollet Blvd Suite 300 Burnsville MN 55337-6734 | |
| (952) 435-0350 | |
| (952) 435-0325 |
| Full Name | Ekim Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 625 E Nicollet Blvd, Burnsville, Minnesota |
| Authorized Official Name and Position | Lilah Suzan Ekim (PRESIDENT) |
| Authorized Official Contact | 9524350350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ekim Orthodontics 625 E Nicollet Blvd Suite 300 Burnsville MN 55337-6734 Ph: (952) 435-0350 | Ekim Orthodontics 625 E Nicollet Blvd Suite 300 Burnsville MN 55337-6734 Ph: (952) 435-0350 |
| NPI Number | 1144656059 |
|---|---|
| Provider Enumeration Date | 09/24/2013 |
| Last Update Date | 11/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144656059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D12091 (Minnesota) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 12008 (Minnesota) | Primary |
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