Organization
ORTHODONTIC CARE SPECIALISTS, PLLC
Active
Parent organization
NORTHLAND DENTAL PARTNERS, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHLAND DENTAL PARTNERS, PLLC
Authorized official
MS. KARIE T GRADEN (OPERATIONS)
(952) 891-8630
Entity
Organization
Contact information
Practice address
14605 GLAZIER AVE, APPLE VALLEY, MN 55124-7545
(952) 891-8635
Mailing address
14605 GLAZIER AVE, APPLE VALLEY, MN 55124-7545
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9488
MN
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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