Orthodontic Care Specialists | |
20143 Idealic Ave. Lakeville MN 55044 | |
(952) 432-2682 | |
Not Available |
Full Name | Orthodontic Care Specialists |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 20143 Idealic Ave., Lakeville, Minnesota |
Authorized Official Name and Position | Mark Roger Kauppi (SENIOR DOCTOR LEADER) |
Authorized Official Contact | 9524321103 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Orthodontic Care Specialists 14605 Glazier Ave. S. Apple Valley MN 55124 Ph: (952) 432-1103 | Orthodontic Care Specialists 20143 Idealic Ave. Lakeville MN 55044 Ph: (952) 432-2682 |
NPI Number | 1649692864 |
---|---|
Provider Enumeration Date | 01/07/2014 |
Last Update Date | 01/07/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649692864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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