Osage Dental Associates PA
NPI #1265586192 in Coon Rapids, Minnesota
Provider Information
- NPI Number
- 1265586192
- Entity Type
- Organization
- Organization Name
- Osage Dental Associates PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 22, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 11441 OSAGE ST NW
- City
- Coon Rapids
- State
- Minnesota
- ZIP Code
- 55433-3677
- Phone
- (763) 757-6600
Authorized Official
- Name
- TAMMY SHADRICK
- Title
- OM
- Phone
- (763) 757-6600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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