Organization
MINNESOTA ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS PA
Active
Other names
Dr. D. Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA CRAIG (FINANCIAL COORD)
(651) 750-7273
Entity
Organization
Contact information
Practice address
3475 PLYMOUTH BLVD, SUITE 300, PLYMOUTH, MN 55447
(763) 559-0559
(763) 559-0001
Mailing address
3475 PLYMOUTH BLVD, SUITE 300, PLYMOUTH, MN 55447
(763) 559-0559
(763) 559-0001
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/04/2007
Last updated
09/15/2020
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