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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