Organization
OCG LTD
Active
Other names
Orthodontic Care Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
KARIE T GRADEN (DIRECTOR OF OPERATIONS)
(952) 432-1103
Entity
Organization
Contact information
Practice address
2165 WHITE BEAR AVE N, MAPLEWOOD, MN 55109-2707
(651) 748-0098
Mailing address
14605 GLAZIER AVE, APPLE VALLEY, MN 55124-7545
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
MN
Other
Enumeration date
03/19/2007
Last updated
07/21/2022
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