Organization
ORTHODONTIC CARE SPECIALISTS, PLLC
Active
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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