| Smile Orthodontics Stillwater Llc | |
|
2008 Ford Pkwy Saint Paul MN 55116-1931 | |
| (651) 351-7777 | |
| Not Available |
| Full Name | Smile Orthodontics Stillwater Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2008 Ford Pkwy, Saint Paul, Minnesota |
| Authorized Official Name and Position | Douglas Wolff (OWNER) |
| Authorized Official Contact | 6513517777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Orthodontics Stillwater Llc 1041 Grand Ave # 531 Saint Paul MN 55105-3002 Ph: (651) 351-7777 | Smile Orthodontics Stillwater Llc 2008 Ford Pkwy Saint Paul MN 55116-1931 Ph: (651) 351-7777 |
| NPI Number | 1518572916 |
|---|---|
| Provider Enumeration Date | 09/11/2020 |
| Last Update Date | 10/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518572916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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