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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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