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Organization
NORTHERN ORTHODONTICS
Active
Organization
NORTHERN ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS S WOLFF (OWNER)
(651) 351-7777
Entity
Organization
Contact information
Practice address
1109 MOORE LAKE DR E, FRIDLEY, MN 55432-5171
(651) 351-7777
(651) 439-2211
Mailing address
13961 60TH ST N, STILLWATER, MN 55082-1053
(651) 351-7777
(651) 439-2211
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
11236
MN
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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