| Imagine Orthodontics | |
| 
					14020 Northdale Blvd Rogers MN 55374-9612  | |
| (763) 428-1912 | |
| Not Available | 
| Full Name | Imagine Orthodontics | 
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics | 
| Location | 14020 Northdale Blvd, Rogers, Minnesota | 
| Authorized Official Name and Position | Sarah Marie Soltys Larson (PRESIDENT) | 
| Authorized Official Contact | 6128024673 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Imagine Orthodontics 14096 Starlite Dr Rogers MN 55374-5812 Ph: (763) 428-1912  | Imagine Orthodontics 14020 Northdale Blvd Rogers MN 55374-9612 Ph: (763) 428-1912  | 
| NPI Number | 1417142175 | 
|---|---|
| Provider Enumeration Date | 09/06/2007 | 
| Last Update Date | 09/30/2009 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417142175 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 11778 (Minnesota) | Primary | 
A Gentle Dental Center Of Rogers Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14115 James Rd, Suite 303, Rogers, MN 55374 Phone: 763-428-2226 Fax: 763-428-3407  | |
Lee Prohofsky Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14000 Northdale Blvd Ste J, Rogers, MN 55374 Phone: 763-428-2300 Fax: 763-428-4031  | |
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Omar Dyab Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13590 Northdale Blvd, Suite 300, Rogers, MN 55374 Phone: 763-428-1215 Fax: 763-428-1398  |