Organization
ORTHODONTICS SPECIALIST OF MINNESOTA P.L.L.C.
Active
Other names
The Dental Orthodontics Minnetonka
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON HESSE (CREDENTIALING SPECIALIST)
(651) 746-2815
Entity
Organization
Contact information
Practice address
14525 HIGHWAY 7 STE 125, MINNETONKA, MN 55345-3738
(952) 241-5860
Mailing address
2200 COUNTY ROAD C W STE 2210, ROSEVILLE, MN 55113-2551
(651) 746-2815
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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