Organization
IMPACT ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL HEMANN DDS, MS (OWNER)
(507) 272-9665
Entity
Organization
Contact information
Practice address
4256 NICOLLET AVE, MINNEAPOLIS, MN 55409
(507) 272-9665
Mailing address
150 26TH AVE SE UNIT 512, MINNEAPOLIS, MN 55414-4329
(507) 272-9665
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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