Op Orthodontics of Minnesota Pllc

NPI #1083372031 in Ironwood, Michigan

Provider Information

NPI Number: 1083372031
Entity Type: Organization
Organization Name: Op Orthodontics of Minnesota Pllc
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Dec 7, 2021
Last Updated: Dec 7, 2021

Practice Location

Address: 250 ROOSEVELT ST
City: Ironwood
State: Michigan
ZIP Code: 49938-1737
Phone: (218) 460-5417

Authorized Official

Name: CHAD HENDRICKS
Title: CREDENTIALING
Phone: (612) 859-0444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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