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Organization

TODD A THAYER DDS MS PA

Active
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Organization

TODD A THAYER DDS MS PA

Active
Other names
Thayer Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
TODD ANTHONY THAYER DDS (PRESIDENT ORTHODONTIST)
(651) 488-5622
Entity
Organization

Contact information

Practice address
1050 LARPEUTEUR AVENUE WEST, ST PAUL, MN 55113-6556
(651) 488-5622
(651) 489-2856
Mailing address
1050 LARPEUTEUR AVENUE WEST, ST PAUL, MN 55113-6556
(651) 488-5622
(651) 489-2856

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
MN10589
MN

Other

Enumeration date
11/30/2006
Last updated
08/22/2020
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