Osage Dental Associates Pa

NPI 1265586192 - Dentist - 1223G0001X

NPI Details
NPI 1265586192
Enumeration Date 01/22/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TAMMY TAMMY
Position OM
Phone (763) 757-6600
Fax (763) 757-3693
Practice Location
11441 OSAGE ST NW
COON RAPIDS MN, 55433-3677, US
Phone (763) 757-6600
Fax (763) 757-3693
Business Location
11441 OSAGE ST NW
COON RAPIDS MN, 55433-3677, US
Phone (763) 757-6600
Fax (763) 757-3693
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number 9770
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According to our database, Osage Dental Associates Pa NPI is 1265586192, taxonomy code is 1223G0001X and license number is 9770, license state is located at Minnesota. Osage Dental Associates Pa physically located at 11441 Osage St Nw, Coon Rapids MN, 55433-3677. NPI Number 1033115704 has the healthcare provider type.

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1265586192 NPI number is provided on an as is basis without warranty of any kind. 1265586192 is maintained by the National Plan & Provider Enumeration System. The contents of Osage Dental Associates Pa are for informational purposes only.