| Orthodontics Specialist Of Minnesota P.l.l.c. | |
|
14525 Highway 7 Ste 125 Minnetonka MN 55345-3738 | |
| (952) 241-5860 | |
| Not Available |
| Full Name | Orthodontics Specialist Of Minnesota P.l.l.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 14525 Highway 7 Ste 125, Minnetonka, Minnesota |
| Authorized Official Name and Position | Shannon Hesse (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6517462815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthodontics Specialist Of Minnesota P.l.l.c. 2200 County Road C W Ste 2210 Roseville MN 55113-2551 Ph: (651) 746-2815 | Orthodontics Specialist Of Minnesota P.l.l.c. 14525 Highway 7 Ste 125 Minnetonka MN 55345-3738 Ph: (952) 241-5860 |
| NPI Number | 1861088197 |
|---|---|
| Provider Enumeration Date | 12/21/2020 |
| Last Update Date | 12/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861088197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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