| Northwoods Orthodontics | |
|
324 W Superior St Suite 100 Duluth MN 55802-1701 | |
| (218) 722-5233 | |
| (218) 722-5661 |
| Full Name | Northwoods Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 324 W Superior St, Duluth, Minnesota |
| Authorized Official Name and Position | Nona G Olson (OFFICE MANAGER) |
| Authorized Official Contact | 2187225233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwoods Orthodontics 324 W Superior St Suite 100 Duluth MN 55802-1701 Ph: (218) 722-5233 | Northwoods Orthodontics 324 W Superior St Suite 100 Duluth MN 55802-1701 Ph: (218) 722-5233 |
| NPI Number | 1518321710 |
|---|---|
| Provider Enumeration Date | 04/13/2016 |
| Last Update Date | 04/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518321710 | NPI | - | NPPES |
| 6195-015 | Other | WI | WI LICENSE NUMBER |
| D11615 | Other | MN | MINNESOTA LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (NU) | Primary |
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