Organization · Type 2 NPI
Northern Orthodontics
Dental Clinic/Center · Fridley, MN
NPI number
1659670362
Active
Practice location
1109 East Moore Lake Drive
Fridley, MN 55432
Fax (651) 439-2211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | D111236 (MN) |
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Fridley
About NPI 1659670362
Northern Orthodontics's National Provider Identifier is 1659670362, issued on Mar 21, 2011. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fridley, MN. The record was last updated on Mar 21, 2011.