Organization
CHASKA ORTHODONTIC SPECIALISTS
Active
Organization
CHASKA ORTHODONTIC SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS VAYDA D.D.S., D.M. SC. (ORTHODONTIST)
(952) 361-5550
Entity
Organization
Contact information
Practice address
1475 WHITE OAK DR, CHASKA, MN 55318-4571
(952) 361-5550
Mailing address
1475 WHITE OAK DR, CHASKA, MN 55318-4571
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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