Organization · Type 2 NPI

Centennial Lakes Orthodontics PLLC

Orthodontics and Dentofacial Orthopedics Dentistry · Edina, MN

NPI number 1457979031 Active

Practice location

7373 France Ave S Ste 400
Edina, MN 55435-4549

Call (952) 831-1324 Map

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XNone listed

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1457979031

Centennial Lakes Orthodontics PLLC's National Provider Identifier is 1457979031, issued on Jul 9, 2020. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Edina, MN. The record was last updated on Jul 9, 2020.