Orthodontic Care Group
Dentist, Orthodontics and Dentofacial Orthopedics in Arden Hills, MN. Organization (NPI-2).
NPI number1679697148
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1679697148
- Entity type
- Organization (NPI-2)
- Legal business name
- Orthodontic Care Group
- Organization subpart
- No
- Enumeration date
- Mar 19, 2007
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | MN | Yes |
Other names
- Orthodontic Care Specialists (Doing Business As)
Practice location
3930 Northwoods DrArden Hills, MN 55112-6963
Phone 651-490-6732
Mailing address
14605 Glazier AveApple Valley, MN 55124-7545
Authorized official
Karie T Graden
Director Of Operations
9524321103
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