Organization
DENTALIGN, PA
Active
Organization
DENTALIGN, PA
Active
Other names
TC Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD H KELLY DMD (PRESIDENT)
(763) 420-1030
Entity
Organization
Contact information
Practice address
10920 175TH COURT W, LAKEVILLE, MN 55044
(952) 892-5300
(763) 420-5510
Mailing address
4630 EDGEBROOK PLACE, EDINA, MN 55424
(763) 420-1030
(763) 420-5510
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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