Ekim Orthodontics | |
16190 Erie Ave Se Prior Lake MN 55372 | |
(952) 447-6077 | |
Not Available |
Full Name | Ekim Orthodontics |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 16190 Erie Ave Se, Prior Lake, Minnesota |
Authorized Official Name and Position | Jody Lynn Gunderson (OFFICE MANAGER) |
Authorized Official Contact | 9524476077 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ekim Orthodontics 16190 Erier Ave Se Prior Lake MN 55372 Ph: (952) 447-6077 | Ekim Orthodontics 16190 Erie Ave Se Prior Lake MN 55372 Ph: (952) 447-6077 |
NPI Number | 1952582702 |
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Provider Enumeration Date | 11/21/2007 |
Last Update Date | 07/29/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952582702 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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