Justin T. Ostrem D.d.s. PA

NPI #1124773460 in Plymouth, Minnesota

Provider Information

NPI Number: 1124773460
Entity Type: Organization
Organization Name: Justin T. Ostrem D.d.s. PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 15, 2022
Last Updated: Feb 15, 2022

Practice Location

Address: 9655 SCHMIDT LAKE RD STE 200
City: Plymouth
State: Minnesota
ZIP Code: 55442-4530
Phone: (763) 536-1272

Authorized Official

Name: DR. JUSTIN T OSTREM, DDS
Title: OWNER
Phone: (763) 536-1272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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