Organization
CAMBRIDGE ORTHODONTICS PA
Active
Other names
Bradley L Videen DDS MS
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY L VIDEEN DDS MS (100 PERCENT SHAREHOLDER OF S CORP)
(763) 689-3134
Entity
Organization
Contact information
Practice address
140 BIRCH ST N, #106, CAMBRIDGE, MN 55008
(763) 689-3134
(763) 689-6609
Mailing address
140 BIRCH ST N, #106, CAMBRIDGE, MN 55008
(763) 689-3134
(763) 689-6609
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8936
MN
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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