Minnesota Orthodontics and Dentofacial Orthopedics PA

NPI #1417175696 in Northfield, Minnesota

Provider Information

NPI Number: 1417175696
Entity Type: Organization
Organization Name: Minnesota Orthodontics and Dentofacial Orthopedics PA
Primary Specialty: Specialist
Enumeration Date: Apr 23, 2007
Last Updated: Sep 15, 2020

Practice Location

Address: 2019 JEFFERSON RD
Address 2: SUITE C
City: Northfield
State: Minnesota
ZIP Code: 55057-3258
Phone: (507) 333-2990

Authorized Official

Name: REBECCA CRAIG
Title: FINANCIAL COORD
Phone: (651) 750-7273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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