Twin Cities Orthodontic Specialists
NPI #1720200108 in Maple Grove, Minnesota
Provider Information
- NPI Number
- 1720200108
- Entity Type
- Organization
- Organization Name
- Twin Cities Orthodontic Specialists
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- May 3, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 7860 MAIN ST
- City
- Maple Grove
- State
- Minnesota
- ZIP Code
- 55369-7055
- Phone
- (763) 420-1030
Authorized Official
- Name
- MRS. CAROLYN JOHNSON
- Title
- OFFICE MANAGER
- Phone
- (763) 420-1030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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