Organization
KOTTEMANN ORTHODONTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JOSEPH KOTTEMANN DDS (OWNER)
(763) 420-6834
Entity
Organization
Contact information
Practice address
13998 MAPLE KNOLL WAY, SUITE 102, MAPLE GROVE, MN 55369-7004
(763) 420-6834
(763) 420-5642
Mailing address
13998 MAPLE KNOLL WAY, SUITE 102, MAPLE GROVE, MN 55369-7004
(763) 420-6834
(763) 420-5642
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8583
MN
Other
Enumeration date
09/07/2006
Last updated
08/22/2020
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