| NPI | 1265143671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY DILLON MCMAHON Orthodontist/Owner 612-889-7211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2022-12-06 |