| Orthodontic Care Specialists | |
|
20143 Idealic Ave. Lakeville MN 55044 | |
| (952) 432-2682 | |
| Not Available |
| Full Name | Orthodontic Care Specialists |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 20143 Idealic Ave., Lakeville, Minnesota |
| Authorized Official Name and Position | Mark Roger Kauppi (SENIOR DOCTOR LEADER) |
| Authorized Official Contact | 9524321103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthodontic Care Specialists 14605 Glazier Ave. S. Apple Valley MN 55124 Ph: (952) 432-1103 | Orthodontic Care Specialists 20143 Idealic Ave. Lakeville MN 55044 Ph: (952) 432-2682 |
| NPI Number | 1649692864 |
|---|---|
| Provider Enumeration Date | 01/07/2014 |
| Last Update Date | 01/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649692864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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