Orthodontic Care Group

NPI #1801910377 in Blaine, Minnesota

Provider Information

NPI Number: 1801910377
Entity Type: Organization
Organization Name: Orthodontic Care Group
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Mar 19, 2007
Last Updated: Jul 21, 2022

Practice Location

Address: 11806 ABERDEEN ST NE
City: Blaine
State: Minnesota
ZIP Code: 55449-4736
Phone: (763) 757-2550

Authorized Official

Name: KARIE T GRADEN
Title: DIRECTOR OF OPERATIONS
Phone: (952) 432-1103

Specialties & Taxonomy Codes

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

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