Organization
SMILE ORTHODONTICS STILLWATER LLC
Active
Parent organization
SMILE ORTHODONTICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SMILE ORTHODONTICS
Authorized official
DOUGLAS WOLFF DDS (OWNER/DDS)
(651) 351-7777
Entity
Organization
Contact information
Practice address
9424 MAPLE GROVE PKWY N, MAPLE GROVE, MN 55311-5499
(651) 351-7777
Mailing address
1041 GRAND AVE # 531, SAINT PAUL, MN 55105-3002
(651) 351-7777
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
10/03/2024
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