OSAGE DENTAL ASSOCIATES PA
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1265586192- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 11441 OSAGE ST NW, COON RAPIDS, MN, 554333677
- Phone
- (763) 757-6600
- Fax
- (763) 757-3693
Specialties & Taxonomies
Dentist, General Practice
Primary License: MN #9770