Organization
FAMILY ORTHODONTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA V ROSS DMD (OWNER)
(952) 922-7117
Entity
Organization
Contact information
Practice address
5804 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416
(952) 922-7117
(952) 927-8534
Mailing address
5804 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416
(952) 922-7117
(952) 927-8534
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9941
MN
Other
Enumeration date
09/13/2006
Last updated
08/22/2020
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