Organization
SYDLEWSKI ORTHODONTICS
Active
Other names
Signature Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY LEE SYDLEWSKI DDS,MD (PRESIDENT)
(651) 426-9986
Entity
Organization
Contact information
Practice address
2126 5TH ST, WHITE BEAR LAKE, MN 55110-2717
(651) 426-9986
(651) 653-4653
Mailing address
2126 5TH ST, WHITE BEAR LAKE, MN 55110-2717
(651) 426-9986
(651) 653-4653
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10622
MN
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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