Centrasota Oral & Maxillofacial Surgeons, P.a.
NPI #1598710477 in Saint Cloud, Minnesota
Provider Information
- NPI Number
- 1598710477
- Entity Type
- Organization
- Organization Name
- Centrasota Oral & Maxillofacial Surgeons, P.a.
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- May 22, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3950 VETERANS DR
- Address 2
- SUITE 100
- City
- Saint Cloud
- State
- Minnesota
- ZIP Code
- 56303-3410
- Phone
- (320) 252-3611
Authorized Official
- Name
- ROBERT J KECK, D.D.S., M.S.
- Title
- PRESIDENT
- Phone
- (320) 252-3611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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