| Family Orthodontic Specialists, Plc | |
|
13784 83rd Way N Maple Grove MN 55369-7192 | |
| (763) 494-6612 | |
| Not Available |
| Full Name | Family Orthodontic Specialists, Plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13784 83rd Way N, Maple Grove, Minnesota |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Orthodontic Specialists, Plc 13784 83rd Way N Maple Grove MN 55369-7192 Ph: (763) 494-6612 | Family Orthodontic Specialists, Plc 13784 83rd Way N Maple Grove MN 55369-7192 Ph: (763) 494-6612 |
| NPI Number | 1083357727 |
|---|---|
| Provider Enumeration Date | 04/20/2022 |
| Last Update Date | 04/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083357727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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