Family Orthodontics Pa

NPI 1801991146 - Dentist - 1223X0400X

NPI Details
NPI 1801991146
Enumeration Date 09/13/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ANGELA V ANGELA
Position OWNER
Phone (952) 922-7117
Fax (952) 927-8534
Practice Location
5804 EXCELSIOR BLVD
ST LOUIS PARK MN, 55416, US
Phone (952) 922-7117
Fax (952) 927-8534
Business Location
5804 EXCELSIOR BLVD
ST LOUIS PARK MN, 55416, US
Phone (952) 922-7117
Fax (952) 927-8534
Toxanomy
Taxonomy Code 1223X0400X
License State Minnesota
License Number 9941
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According to our database, Family Orthodontics Pa NPI is 1801991146, taxonomy code is 1223X0400X and license number is 9941, license state is located at Minnesota. Family Orthodontics Pa physically located at 5804 Excelsior Blvd, St Louis Park MN, 55416. NPI Number 1033115704 has the healthcare provider type.

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1801991146 NPI number is provided on an as is basis without warranty of any kind. 1801991146 is maintained by the National Plan & Provider Enumeration System. The contents of Family Orthodontics Pa are for informational purposes only.