| Family Orthodontic Specialists Plc | |
|
6602 Lyndale Ave S Ste 230a Richfield MN 55423 | |
| (612) 869-8834 | |
| Not Available |
| Full Name | Family Orthodontic Specialists Plc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6602 Lyndale Ave S Ste 230a, 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 |
|---|---|
| Family Orthodontic Specialists Plc 6602 Lyndale Ave S Ste 230a Richfield MN 55423 Ph: (612) 869-8834 | Family Orthodontic Specialists Plc 6602 Lyndale Ave S Ste 230a Richfield MN 55423 Ph: (612) 869-8834 |
| NPI Number | 1639815434 |
|---|---|
| Provider Enumeration Date | 05/05/2022 |
| Last Update Date | 05/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639815434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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