| NPI | 1598300675 |
|---|---|
| Doing Business As | TC ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CHAD KELLY President 763-420-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |