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Organization

FAMILY ORTHODONTIC SPECIALISTS, PLC

Active
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Organization

FAMILY ORTHODONTIC SPECIALISTS, PLC

Active
Parent organization
FAMILY ORTHODONTIC SPECIALISTS, PLC
Other names
Woodlake Orthodontics Richfield
Organization subpart
Yes

Provider details

NPI number
Legal business name
FAMILY ORTHODONTIC SPECIALISTS, PLC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization

Contact information

Practice address
6601 LYNDALE AVE S STE 240, RICHFIELD, MN 55423-2479
(612) 861-9123
Mailing address
6601 LYNDALE AVE S STE 240, RICHFIELD, MN 55423-2479

Taxonomy

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

Other

Enumeration date
09/25/2006
Last updated
05/31/2022
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