Organization
ORTHODONTIC CARE SPECIALISTS, PLLC
Active
Organization
ORTHODONTIC CARE SPECIALISTS, PLLC
Active
Parent organization
NORTHLAND DENTAL PARTNERS, PLLC
Other names
Orthodontic Care Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHLAND DENTAL PARTNERS, PLLC
Authorized official
DR. MARK ROGER KAUPPI DDS (SENIOR DOCTOR LEADER)
(952) 432-1103
Entity
Organization
Contact information
Practice address
4980 W. 77TH ST., EDINA, MN 55436
(952) 920-1373
Mailing address
14605 GLAZIER AVE. S., APPLE VALLEY, MN 55124
(952) 432-1103
(952) 891-8678
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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