Organization
HENSELER ORTHODONTICS
Active
Organization
HENSELER ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN JOHN HENSELER DDS, PA (DDS ORTHODONTIST)
(651) 739-1555
Entity
Organization
Contact information
Practice address
1000 RADIO DR, SUITE 220, WOODBURY, MN 55125-8409
(651) 739-1555
(651) 739-1556
Mailing address
1000 RADIO DR, SUITE 220, WOODBURY, MN 55125-8409
(651) 739-1555
(651) 739-1556
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10804
MN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D12265
MN
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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