Northeast Orthodontic Associates. L.l.c.
NPI #1831382134 in Watertown, South Dakota
Provider Information
- NPI Number
- 1831382134
- Entity Type
- Organization
- Organization Name
- Northeast Orthodontic Associates. L.l.c.
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Aug 21, 2007
- Last Updated
- Aug 21, 2007
Practice Location
- Address
- 25 5TH ST NE
- City
- Watertown
- State
- South Dakota
- ZIP Code
- 57201-3712
- Phone
- (605) 882-1500
Authorized Official
- Name
- DR. RYAN K VAN LAECKEN, D.D.S., M.S.
- Title
- OWNER
- Phone
- (605) 882-2772
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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