DR. Ebosetale Odiaogbe Okoruwa, DDS
NPI #1417444332 in Cottage Grove, Minnesota
Provider Information
- NPI Number
- 1417444332
- Entity Type
- Individual
- Name
- DR. Ebosetale Odiaogbe Okoruwa, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Apr 16, 2018
- Last Updated
- Feb 12, 2024
Practice Location
- Address
- 6936 PINE ARBOR DR S STE 230
- City
- Cottage Grove
- State
- Minnesota
- ZIP Code
- 55016-4645
- Phone
- (651) 204-5257
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Student in an Organized Health Care Education/Training Program |
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