| Minnesota Orthodontics And Dentofacial Orthopedics Pa | |
|
3475 Plymouth Blvd Suite 300 Plymouth MN 55447 | |
| (763) 559-0559 | |
| (763) 559-0001 |
| Full Name | Minnesota Orthodontics And Dentofacial Orthopedics Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3475 Plymouth Blvd, Plymouth, Minnesota |
| Authorized Official Name and Position | Rebecca Craig (FINANCIAL COORD) |
| Authorized Official Contact | 6517507273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Orthodontics And Dentofacial Orthopedics Pa 3475 Plymouth Blvd Suite 300 Plymouth MN 55447 Ph: (763) 559-0559 | Minnesota Orthodontics And Dentofacial Orthopedics Pa 3475 Plymouth Blvd Suite 300 Plymouth MN 55447 Ph: (763) 559-0559 |
| NPI Number | 1538216411 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 09/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538216411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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