Organization
ORTHODONTIC SPECIALISTS OF MINNESOTA, PLLC
Active
Organization
ORTHODONTIC SPECIALISTS OF MINNESOTA, PLLC
Active
Other names
The Dental Specialist Orthodontics Woodbury
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON HESSE (CREDENTIALING SPECIALIST)
(651) 746-2815
Entity
Organization
Contact information
Practice address
10150 CITY WALK DR APT C, WOODBURY, MN 55129-9270
(651) 268-2992
Mailing address
2200 COUNTY ROAD C W STE 2210, ROSEVILLE, MN 55113-2551
(651) 746-2815
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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