Organization
ROGERS MINNESOTA ORTHODONTICS PLLC
Active
Parent organization
MINNESOTA ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS PA
Other names
Rogers Minnesota Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINNESOTA ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS PA
Authorized official
MRS. BECKY CRAIG LDA (FINANCIAL COORDINATOR)
(651) 450-7273
Entity
Organization
Contact information
Practice address
13690 ROGERS DR STE 100, ROGERS, MN 55374-4899
(651) 450-7273
Mailing address
13690 ROGERS DR STE 100, ROGERS, MN 55374-4899
(651) 450-7273
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D13003
MN
Other
Enumeration date
09/11/2017
Last updated
07/21/2022
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