Organization
RICHFIELD ORTHODONTIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM F. LILJEMARK DDS (MANAGING PARTNER)
(612) 866-3333
Entity
Organization
Contact information
Practice address
1537 E 66TH ST, SUITE 100, RICHFIELD, MN 55423-2663
(612) 866-3333
(612) 866-2845
Mailing address
1537 E 66TH ST, SUITE 100, RICHFIELD, MN 55423-2663
(612) 866-3333
(612) 866-2845
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7105
MN
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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