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Organization

OP ORTHODONTICS OF MISSOURI

Active
Parent organization
OP ORTHODONTICS OF MISSOURI
Other names
Embrace Our World Orthodontics
Organization subpart
Yes

Provider details

NPI number
Legal business name
OP ORTHODONTICS OF MISSOURI
Authorized official
STACY POPE (PROJECT MANAGER)
(616) 283-8867
Entity
Organization

Contact information

Practice address
12111 TESSON FERRY PROFESSIONAL CTR, SAINT LOUIS, MO 63128-1250
(314) 635-7510
Mailing address
5300 PATTERSON AVE SE STE 110, GRAND RAPIDS, MI 49512-9758
(616) 283-8867

Taxonomy

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

Other

Enumeration date
08/30/2023
Last updated
03/19/2024
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