Op Orthodontics Of Minnesota Pllc | |
3701 Tower Ave Superior WI 54880-5338 | |
(218) 460-5417 | |
Not Available |
Full Name | Op Orthodontics Of Minnesota Pllc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 3701 Tower Ave, Superior, Wisconsin |
Authorized Official Name and Position | Chad Hendricks (CREDENTIALING) |
Authorized Official Contact | 6128590444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Op Orthodontics Of Minnesota Pllc 3701 Tower Ave Superior WI 54880-5338 Ph: (218) 460-5417 | Op Orthodontics Of Minnesota Pllc 3701 Tower Ave Superior WI 54880-5338 Ph: (218) 460-5417 |
NPI Number | 1356009302 |
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Provider Enumeration Date | 12/07/2021 |
Last Update Date | 12/07/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356009302 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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