Osberg Pesola Scamp Kaivo DDS PA
NPI #1508873118 in Eden Prairie, Minnesota
Provider Information
- NPI Number
- 1508873118
- Entity Type
- Organization
- Organization Name
- Osberg Pesola Scamp Kaivo DDS PA
- Primary Specialty
- Dentist
- Enumeration Date
- Aug 3, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 16518 WEST 78TH STREET
- City
- Eden Prairie
- State
- Minnesota
- ZIP Code
- 55346
- Phone
- (952) 937-2137
Authorized Official
- Name
- MRS. KIMBERLY ANN GERTNER
- Title
- OFFICE MANAGER
- Phone
- (612) 824-4211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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