Organization
BRAINERD AREA ORTHODONTICS, LLC
Active
Other names
Colby-Mueller Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN WILLIAM COLBY DDS, MS, PA (OWNER)
(218) 838-2650
Entity
Organization
Contact information
Practice address
13367 ISLE DR, SUITE 2, BAXTER, MN 56425-2221
(218) 838-2650
(218) 454-2672
Mailing address
13367 ISLE DR, SUITE 2, BAXTER, MN 56425-2221
(218) 838-2650
(218) 454-2672
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10906
MN
122300000X
Dentist
13161
MN
Other
Enumeration date
10/25/2013
Last updated
11/13/2014
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