NORTHSIDE MINNESOTA ORAL AND MAXILLOFACIAL SURGEONS
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1336337526- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 11441 OSAGE ST NW, COON RAPIDS, MN, 55433
- Phone
- (763) 862-6442
Specialties & Taxonomies
Dentist
Primary
All Addresses
MAILING
11441 OSAGE ST NW
COON RAPIDS, MN, 55433