Organization
TWIN CITIES ORTHODONTIC SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN JOHNSON (OFFICE MANAGER)
(763) 420-1030
Entity
Organization
Contact information
Practice address
7860 MAIN ST, MAPLE GROVE, MN 55369-7055
(763) 420-1030
(763) 420-5510
Mailing address
7860 MAIN ST, MAPLE GROVE, MN 55369-7055
(763) 420-1030
(763) 420-5510
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
7060
MN
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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