Blaine Orthodontics

NPI #1659031854 in Blaine, Minnesota

Provider Information

NPI Number
1659031854
Entity Type
Organization
Organization Name
Blaine Orthodontics
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 29, 2021
Last Updated
Dec 29, 2021

Practice Location

Address
10945 CLUB WEST PKWY
City
Blaine
ZIP Code
55449-6253
Phone
(763) 400-8992

Authorized Official

Name
TAMARA SMITH
Title
ORTHODONTIST
Phone
(763) 400-8992

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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