| Tc Orthodontics | |
|
470 W 78th St Chanhassen MN 55317-4524 | |
| (763) 420-1030 | |
| Not Available |
| Full Name | Tc Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 470 W 78th St, Chanhassen, Minnesota |
| Authorized Official Name and Position | Chad H Kelly (PRESIDENT) |
| Authorized Official Contact | 7634201030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tc Orthodontics 4630 Edgebrook Pl Edina MN 55424-1152 Ph: (763) 420-1030 | Tc Orthodontics 470 W 78th St Chanhassen MN 55317-4524 Ph: (763) 420-1030 |
| NPI Number | 1760802722 |
|---|---|
| Provider Enumeration Date | 04/17/2014 |
| Last Update Date | 04/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760802722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 11493 (Minnesota) | Primary |
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