Organization
SMILE ORTHODONTICS STILLWATER LLC
Active
Parent organization
SMILE ORTHODONTICS STILLWATER LLC
Other names
Smile Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
SMILE ORTHODONTICS STILLWATER LLC
Authorized official
DOUGLAS WOLFF DDS (OWNER)
(651) 351-7777
Entity
Organization
Contact information
Practice address
2008 FORD PKWY, SAINT PAUL, MN 55116-1931
(651) 351-7777
Mailing address
1041 GRAND AVE # 531, SAINT PAUL, MN 55105-3002
(651) 351-7777
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
10/15/2020
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