Orthodontic Care Group
NPI #1396869863 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1396869863
- Entity Type
- Organization
- Organization Name
- Orthodontic Care Group
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Mar 19, 2007
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 4886 HIGHWAY 61 N
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-2857
- Phone
- (651) 762-9543
Authorized Official
- Name
- KARIE T GRADEN
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (952) 432-1103
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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