Orthodontic Specialists Valid NPI

Organization · Orthodontics and Dentofacial Orthopedics Dentistry · Lakeville, MN

NPI

1538219746

Type

Organization (Type 2)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223X0400X

License number

MN9323 (MN)

Enumerated

2007-01-11

Last updated

2020-08-22