| NPI | 1861088197 |
|---|---|
| Doing Business As | THE DENTAL ORTHODONTICS MINNETONKA |
| Entity Type | Organization |
| Authorized Contact | SHANNON HESSE Credentialing Specialist 651-746-2815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2020-12-21 |