| West Missabe Orthodontics Pllc | |
|
615 Ne 4th Street Grand Rapids MN 55744 | |
| (218) 999-5588 | |
| (218) 328-7002 |
| Full Name | West Missabe Orthodontics Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 615 Ne 4th Street, Grand Rapids, Minnesota |
| Authorized Official Name and Position | Ryan J Mueller (OWNER/DENTIST) |
| Authorized Official Contact | 2189995588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Missabe Orthodontics Pllc 615 Ne 4th Street Grand Rapids MN 55744 Ph: (218) 999-5588 | West Missabe Orthodontics Pllc 615 Ne 4th Street Grand Rapids MN 55744 Ph: (218) 999-5588 |
| NPI Number | 1215753462 |
|---|---|
| Provider Enumeration Date | 12/03/2024 |
| Last Update Date | 12/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215753462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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