Dentalign, PA

NPI #1598300675 in Champlin, Minnesota

Provider Information

NPI Number: 1598300675
Entity Type: Organization
Organization Name: Dentalign, PA
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Nov 12, 2019
Last Updated: Nov 12, 2019

Practice Location

Address: 11942 BUSINESS PARK BLVD
City: Champlin
State: Minnesota
ZIP Code: 55316
Phone: (763) 421-9131

Authorized Official

Name: CHAD KELLY, DMD
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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