Organization
KUIPERS ORTHODONTICS
Active
Organization
KUIPERS ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER W KUIPERS DDS PHD (OWNER)
(952) 884-9161
Entity
Organization
Contact information
Practice address
8900 PENN AVE S, SUITE 216, BLOOMINGTON, MN 55431-2068
(952) 884-9161
Mailing address
8900 PENN AVE S, SUITE 216, BLOOMINGTON, MN 55431-2068
(952) 884-9161
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7434
MN
Other
Enumeration date
01/05/2007
Last updated
11/09/2009
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