| Woodlake Orthodontics Richfield | |
|
6601 Lyndale Ave S Ste 240 Richfield MN 55423-2479 | |
| (612) 861-9123 | |
| Not Available |
| Full Name | Woodlake Orthodontics Richfield |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6601 Lyndale Ave S Ste 240, Richfield, 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 |
|---|---|
| Woodlake Orthodontics Richfield 6601 Lyndale Ave S Ste 240 Richfield MN 55423-2479 Ph: () - | Woodlake Orthodontics Richfield 6601 Lyndale Ave S Ste 240 Richfield MN 55423-2479 Ph: (612) 861-9123 |
| NPI Number | 1447350509 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 05/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447350509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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