Northern Orthodontics
Clinic/Center, Dental in Fridley, MN. Organization (NPI-2).
NPI number1407166317
StatusActive
Last updated in NPPESOct 13, 2010
Details
- NPI
- 1407166317
- Entity type
- Organization (NPI-2)
- Legal business name
- Northern Orthodontics
- Organization subpart
- No
- Enumeration date
- Oct 13, 2010
- Last updated
- Oct 13, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 11236 | MN | Yes |
Practice location
1109 Moore Lake Dr EFridley, MN 55432-5171
Phone 651-351-7777 · Fax 651-439-2211
Mailing address
13961 60th St NStillwater, MN 55082-1053
Phone 651-351-7777 · Fax 651-439-2211
Authorized official
Douglas S Wolff
Owner
6513517777
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Other Dental Clinic/Center providers in Fridley, MN
- Bauman Ventures LLCNPI 1710716147
- Northern OrthodonticsNPI 1659670362
- Straight Smiles, PLLCNPI 1679904189
- Swana Dental DeliveryNPI 1588118434
All 5 Dental Clinic/Center providers in Fridley · All 1,234 providers in Fridley
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