Organization
ORTHODONTIC CARE SPECIALISTS, PLLC
Active
Organization
ORTHODONTIC CARE SPECIALISTS, PLLC
Active
Other names
Orthodontic Care Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARIE THERESE GRADEN (OPERATIONS MANAGER)
(952) 432-1103
Entity
Organization
Contact information
Practice address
1375 SAINT ANTHONY AVE, SAINT PAUL, MN 55104-4005
(651) 286-8153
Mailing address
14605 GLAZIER AVE, APPLE VALLEY, MN 55124-7545
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1223X0400X
MN
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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