Organization
HULTGREN & HOXIE ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M ALICK (DDS, MS)
(952) 937-0111
Entity
Organization
Contact information
Practice address
7825 TERREY PINE CT, SUITE 101, EDEN PRAIRIE, MN 55347-1126
(952) 937-0111
(952) 937-1492
Mailing address
7825 TERREY PINE CT, SUITE 101, EDEN PRAIRIE, MN 55347-1126
(952) 937-0111
(952) 937-1492
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223333X0400X
ORTHODONTICS
MN
Enumeration date
01/12/2007
Last updated
08/22/2020
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