| A-team Orthodontics, Pllc | |
|
1130 County Road 10 Spring Lake Park MN 55432-1261 | |
| (763) 784-0420 | |
| Not Available |
| Full Name | A-team Orthodontics, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1130 County Road 10, Spring Lake Park, Minnesota |
| Authorized Official Name and Position | Alisa Madson (MEMBER) |
| Authorized Official Contact | 6127038207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A-team Orthodontics, Pllc 1130 County Road 10 Spring Lake Park MN 55432-1261 Ph: (763) 784-0420 | A-team Orthodontics, Pllc 1130 County Road 10 Spring Lake Park MN 55432-1261 Ph: (763) 784-0420 |
| NPI Number | 1619345170 |
|---|---|
| Provider Enumeration Date | 09/14/2015 |
| Last Update Date | 09/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619345170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D12091 (Minnesota) | Primary |
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