Orthodontic Care Specialists, Pllc | |
14605 Glazier Ave Apple Valley MN 55124-7545 | |
(952) 891-8635 | |
Not Available |
Full Name | Orthodontic Care Specialists, Pllc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 14605 Glazier Ave, Apple Valley, Minnesota |
Authorized Official Name and Position | Karie T Graden (OPERATIONS) |
Authorized Official Contact | 9528918630 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Orthodontic Care Specialists, Pllc 14605 Glazier Ave Apple Valley MN 55124-7545 Ph: () - | Orthodontic Care Specialists, Pllc 14605 Glazier Ave Apple Valley MN 55124-7545 Ph: (952) 891-8635 |
NPI Number | 1982961942 |
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Provider Enumeration Date | 04/16/2012 |
Last Update Date | 04/16/2012 |
Identifier | Type | State | Issuer |
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1982961942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 9488 (Minnesota) | Primary |
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