Williamson Orthodontics | |
5101 Vernon Ave S Ste 502 Edina MN 55436-2169 | |
(952) 926-3747 | |
(952) 926-0701 |
Full Name | Williamson Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 5101 Vernon Ave S Ste 502, Edina, Minnesota |
Authorized Official Name and Position | Stanley P Williamson (PRESIDENT) |
Authorized Official Contact | 9529263747 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Williamson Orthodontics 5101 Vernon Ave S Suite 502 Edina MN 55436 Ph: (952) 926-3747 | Williamson Orthodontics 5101 Vernon Ave S Ste 502 Edina MN 55436-2169 Ph: (952) 926-3747 |
NPI Number | 1356586804 |
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Provider Enumeration Date | 12/12/2008 |
Last Update Date | 12/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356586804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D9907 (Minnesota) | Primary |
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