Organization
DENTALIGN, P.A
Active
Other names
TC Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD H KELLY D.M.D (PRESIDENT)
(763) 420-1030
Entity
Organization
Contact information
Practice address
470 W 78TH ST, CHANHASSEN, MN 55317-4524
(763) 420-1030
Mailing address
4630 EDGEBROOK PL, EDINA, MN 55424-1152
(763) 420-1030
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11493
MN
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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