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Organization

KUIPERS ORTHODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER W KUIPERS DDS PHD (OWNER)
(651) 388-8851
Entity
Organization

Contact information

Practice address
615 W 4TH ST, RED WING, MN 55066-2413
(651) 388-8851
(651) 388-5572
Mailing address
615 W 4TH ST, RED WING, MN 55066-2413
(651) 388-8851
(651) 388-5572

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7434
MN

Other

Enumeration date
01/08/2007
Last updated
08/22/2020
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