Organization
ORTHOGNATHIC SERVICES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA HEUER (OFFICE MANAGER)
(763) 476-4636
Entity
Organization
Contact information
Practice address
187 CHESHIRE LN N STE 800, PLYMOUTH, MN 55441-5435
(763) 476-4636
Mailing address
187 CHESHIRE LN N STE 800, PLYMOUTH, MN 55441-5435
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
D7060
MN
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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