Family Orthodontic Specialists Plc

NPI #1164165890 in Shakopee, Minnesota

Provider Information

NPI Number
1164165890
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 - General Practice
Enumeration Date
Apr 20, 2022
Last Updated
Apr 20, 2022

Practice Location

Address
1759 17TH AVE E
ZIP Code
55379-3372
Phone
(952) 746-8996

Authorized Official

Name
CELIA HAYES
Title
CREDENTIALING COORDINATOR
Phone
(217) 540-2100

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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