| NPI | 1578505152 |
|---|---|
| Doing Business As | NORTHFIELD ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | REGINA L BLEVINS Owner/President 651-714-4987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN 10244) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-09-15 |