| Kottemann Orthodontics Pa | |
|
13998 Maple Knoll Way Suite 102 Maple Grove MN 55369-7004 | |
| (763) 420-6834 | |
| (763) 420-5642 |
| Full Name | Kottemann Orthodontics Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 13998 Maple Knoll Way, Maple Grove, Minnesota |
| Authorized Official Name and Position | William Joseph Kottemann (OWNER) |
| Authorized Official Contact | 7634206834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kottemann Orthodontics Pa 13998 Maple Knoll Way Suite 102 Maple Grove MN 55369-7004 Ph: (763) 420-6834 | Kottemann Orthodontics Pa 13998 Maple Knoll Way Suite 102 Maple Grove MN 55369-7004 Ph: (763) 420-6834 |
| NPI Number | 1265535868 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265535868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8583 (Minnesota) | Primary |
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