| Evolve Orthodontics | |
|
510 22nd Ave E Ste 702 Alexandria MN 56308-4653 | |
| (612) 804-4028 | |
| Not Available |
| Full Name | Evolve Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 510 22nd Ave E Ste 702, Alexandria, Minnesota |
| Authorized Official Name and Position | Dustin Matthew Ditch (OWNER) |
| Authorized Official Contact | 6128044028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Orthodontics 41625 Bur Oak Hills Rd Pelican Rapids MN 56572-7448 Ph: () - | Evolve Orthodontics 510 22nd Ave E Ste 702 Alexandria MN 56308-4653 Ph: (612) 804-4028 |
| NPI Number | 1639677735 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 01/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639677735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D13650 (Minnesota) | Primary |
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