Colby Orthodontics LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Minneapolis, MN. Organization (NPI-2).
NPI number1164040457
StatusActive
Last updated in NPPESJul 13, 2020
Details
- NPI
- 1164040457
- Entity type
- Organization (NPI-2)
- Legal business name
- Colby Orthodontics LLC
- Organization subpart
- No
- Enumeration date
- Jul 13, 2020
- Certification date
- Jul 13, 2020
- Last updated
- Jul 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – | Yes |
Practice location
9th St. And Nicollet Ave. Suite 531Minneapolis, MN 55402
Phone 612-332-4344
Mailing address
7373 France Ave S Ste 400Edina, MN 55435-4549
Phone 952-831-1324
Authorized official
Stephen Colby
Owner
9528311324
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