| Glk Orthodontics Pa | |
|
1705 Broadway Ave S Ste A Rochester MN 55904-7973 | |
| (507) 288-4427 | |
| (507) 288-8497 |
| Full Name | Glk Orthodontics Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1705 Broadway Ave S Ste A, Rochester, Minnesota |
| Authorized Official Name and Position | Jodi Kuball (ADMIN & FINANCIAL COORDINATOR) |
| Authorized Official Contact | 5072813121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glk Orthodontics Pa 1705 Broadway Ave S Ste A Rochester MN 55904-7960 Ph: (507) 288-4427 | Glk Orthodontics Pa 1705 Broadway Ave S Ste A Rochester MN 55904-7973 Ph: (507) 288-4427 |
| NPI Number | 1891829669 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 05/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891829669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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