Organization
EMBRACE ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESTEE WANG (CO-OWNER/ORTHODONTIST)
(651) 257-4445
Entity
Organization
Contact information
Practice address
13185 SAINT CROIX AVE, LINDSTROM, MN 55045-9459
(651) 257-4445
Mailing address
580 WARNER AVE S, MAHTOMEDI, MN 55115-6863
(651) 356-9249
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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