Tc Orthodontics Red Wing

NPI #1467799866 in Red Wing, Minnesota

Provider Information

NPI Number: 1467799866
Entity Type: Organization
Organization Name: Tc Orthodontics Red Wing
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Jan 7, 2013
Last Updated: Jan 7, 2013

Practice Location

Address: 615 W 4TH ST
City: Red Wing
State: Minnesota
ZIP Code: 55066-2413
Phone: (651) 388-8851

Authorized Official

Name: DR. CHAD HOLLY KELLY, D.M.D.
Title: PRESIDENT
Phone: (763) 420-1030

Specialties & Taxonomy Codes

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

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