NPI 1003174764
Dentalign P.A.
Practice location
- Address
- 7860 Main St, Maple Grove, MN 55369
- Phone
- (763) 420-1030
- Mailing address
- 4630 Edgebrook Pl, Edina, MN 55424
Authorised official
- Name
- Chad Holly Kelly
- Title
- President
- Phone
- (612) 701-0478
Registered specialties
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
Registry record
- NPI
- 1003174764
- Entity type
- Organization
- NPI issued
- 1 May 2012
- Record last updated
- 1 May 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.