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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