| NPI | 1538216411 |
|---|---|
| Former Legal Business Name | DR. D. ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | REBECCA CRAIG Financial COO Rd 651-750-7273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-09-15 |