Orthodontic Specialists of Minnesota, Pllc

NPI #1013517093 in Woodbury, Minnesota

Provider Information

NPI Number
1013517093
Entity Type
Organization
Organization Name
Orthodontic Specialists of Minnesota, Pllc
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Oct 28, 2020
Last Updated
Oct 28, 2020

Practice Location

Address
10150 CITY WALK DR APT C
ZIP Code
55129-9270
Phone
(651) 268-2992

Authorized Official

Name
SHANNON HESSE
Title
CREDENTIALING SPECIALIST
Phone
(651) 746-2815

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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