Organization
ESTEE WANG, DMD MS, PLLC
Active
Parent organization
ESTEE WANG, DMD MS, PLLC
Other names
Lakes Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
ESTEE WANG, DMD MS, PLLC
Authorized official
DR. ESTEE WANG DMD MS (OWNER)
(651) 765-1945
Entity
Organization
Contact information
Practice address
1668 COPE AVE E, MAPLEWOOD, MN 55109-2689
(651) 777-7300
Mailing address
4535 HODGSON RD STE 700, SHOREVIEW, MN 55126-1955
(651) 765-1945
(651) 765-1949
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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