Organization Name: | MINNESOTA ORTHODONTICS AND DENTOFACIAL |
NPI Number: | 1417175696 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DELIA DALL'ARANCIO (OWNER) |
Mailing Address: | 2019 Jefferson Rd Suite C Northfield |
State: | MN US |
Postal Code: | 550573258 |
Phone Number: | 5073332990 |
Fax Number: | 5076451684 |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 10890 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |