Family Orthodontic Specialists Plc
NPI #1104569839 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1104569839
- Entity Type
- Organization
- Organization Name
- Family Orthodontic Specialists Plc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FAMILY ORTHODONTIC SPECIALISTS PLC
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Apr 20, 2022
- Last Updated
- Apr 20, 2022
Practice Location
- Address
- 4959 EXCELSIOR BLVD STE 200
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55416-3003
- Phone
- (952) 920-8774
Authorized Official
- Name
- CELIA HAYES
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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