Organization
ORTHODONTIC SPECIALISTS OF SOUTHERN MINNESOTA
Active
Organization
ORTHODONTIC SPECIALISTS OF SOUTHERN MINNESOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES HULWI DMD (OWNER/ORTHODONTIST)
(507) 779-7139
Entity
Organization
Contact information
Practice address
1591 TULLAMORE STREET, MANKATO, MN 56001
(507) 779-7139
Mailing address
1591 TULLAMORE STREET, MANKATO, MN 56001
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D13147
MN
Other
Enumeration date
08/21/2014
Last updated
08/08/2015
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