Organization
ORCHIN SMILES SCF SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL MARIE ORCHIN DDS (PRESIDENT)
(651) 383-7399
Entity
Organization
Contact information
Practice address
230 S WASHINGTON, SUITE #1, ST CROIX FALLS, WI 54024
(715) 483-1505
(715) 483-9962
Mailing address
PO BOX 887, ST CROIX FALLS, WI 54024
(715) 483-1505
(715) 483-9962
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
11730
MN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
16757
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5211015
WI
Other
Enumeration date
11/08/2006
Last updated
02/09/2024
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