Family Orthodontic Specialists Plc | |
4959 Excelsior Blvd Ste 200 St Louis Park MN 55416-3003 | |
(952) 920-8774 | |
(952) 920-8979 |
Full Name | Family Orthodontic Specialists Plc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 4959 Excelsior Blvd Ste 200, St Louis Park, Minnesota |
Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175402100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Orthodontic Specialists Plc 4959 Excelsior Blvd Ste 200 St Louis Park MN 55416-3003 Ph: (952) 920-8774 | Family Orthodontic Specialists Plc 4959 Excelsior Blvd Ste 200 St Louis Park MN 55416-3003 Ph: (952) 920-8774 |
NPI Number | 1104569839 |
---|---|
Provider Enumeration Date | 04/20/2022 |
Last Update Date | 04/20/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104569839 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
News Archive
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