Organization
MINNESOTA ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS PA
Active
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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