Organization
MINNESOTA ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS PA
Active
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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