Organization
ARROWHEAD ORTHODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE KOOP (OFFICE MGR)
(218) 722-4484
Entity
Organization
Contact information
Practice address
3617 W ARROWHEAD RD, SUITE 200, DULUTH, MN 55811-4046
(218) 722-4484
(218) 722-5217
Mailing address
3617 W ARROWHEAD RD, SUITE 200, DULUTH, MN 55811-4046
(218) 722-4484
(218) 722-5217
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11345
MN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
12454
MN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
12487
MN
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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