| NPI | 1669817557 |
|---|---|
| Doing Business As | ORTHODONTIC CARE SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | KARIE THERESE GRADEN Operations Manager 952-432-1103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MN 1223X0400X) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-05-06 |