Orthodontic Specialists Of Southern Minnesota

NPI 1114326592 - Dentist - 1223X0400X

NPI Details
NPI 1114326592
Enumeration Date 08/21/2014
Last Updated 08/08/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JAMES JAMES
Position OWNER/ORTHODONTIST
Phone (507) 779-7139
Fax
Practice Location
1591 TULLAMORE STREET
MANKATO MN, 56001, US
Phone (507) 779-7139
Fax
Business Location
1591 TULLAMORE STREET
MANKATO MN, 56001, US
Phone
Fax
Toxanomy
Taxonomy Code 1223X0400X
License State Minnesota
License Number D13147
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According to our database, Orthodontic Specialists Of Southern Minnesota NPI is 1114326592, taxonomy code is 1223X0400X and license number is D13147, license state is located at Minnesota. Orthodontic Specialists Of Southern Minnesota physically located at 1591 Tullamore Street, Mankato MN, 56001. NPI Number 1033115704 has the healthcare provider type.

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1114326592 NPI number is provided on an as is basis without warranty of any kind. 1114326592 is maintained by the National Plan & Provider Enumeration System. The contents of Orthodontic Specialists Of Southern Minnesota are for informational purposes only.