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Brainerd Area Orthodontics, LLC

Dentist in Baxter, MN. Organization (NPI-2).

NPI number1730517954
StatusActive
Last updated in NPPESNov 13, 2014

Details

NPI
1730517954
Entity type
Organization (NPI-2)
Legal business name
Brainerd Area Orthodontics, LLC
Organization subpart
No
Enumeration date
Oct 25, 2013
Last updated
Nov 13, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist10906MNYes
122300000X Dentist13161MN

Other names

  • Colby-Mueller Orthodontics (Doing Business As)

Practice location

13367 Isle Dr
Suite 2
Baxter, MN 56425-2221

Phone 218-838-2650 · Fax 218-454-2672

Mailing address

13367 Isle Dr
Suite 2
Baxter, MN 56425-2221

Phone 218-838-2650 · Fax 218-454-2672

Authorized official

Stephen William Colby
Owner
2188382650

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All 10 Dentist providers in Baxter · All 714 providers in Baxter

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