Smile Orthodontics | |
4200 W Division St Suite #100 St.cloud MN 56301 | |
(651) 351-7777 | |
Not Available |
Full Name | Smile Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 4200 W Division St Suite #100, St.cloud, Minnesota |
Authorized Official Name and Position | Douglas Steven Wolff (DENTIST) |
Authorized Official Contact | 6513517777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Smile Orthodontics 1041 Grand Ave # 531 Saint Paul MN 55105-3002 Ph: (651) 351-7777 | Smile Orthodontics 4200 W Division St Suite #100 St.cloud MN 56301 Ph: (651) 351-7777 |
NPI Number | 1356854442 |
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Provider Enumeration Date | 11/10/2017 |
Last Update Date | 09/24/2024 |
Identifier | Type | State | Issuer |
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1356854442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D11236 (Minnesota) | Primary |