Organization
MINNESOTA ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA CRAIG (FINANCIAL COORD)
(651) 750-7273
Entity
Organization
Contact information
Practice address
1745 N FRONTAGE RD, HASTINGS, MN 55033-3490
(651) 450-7273
Mailing address
955 HIGHWAY 55, HASTINGS, MN 55033-2365
(651) 450-7273
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10244
MN
Other
Enumeration date
04/20/2009
Last updated
02/03/2021
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