St. Anthony Village Dental Care, P.a.
NPI #1659660298 in St Anthony, Minnesota
Provider Information
- NPI Number
- 1659660298
- Entity Type
- Organization
- Organization Name
- St. Anthony Village Dental Care, P.a.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 5, 2011
- Last Updated
- Apr 5, 2011
Practice Location
- Address
- 2525 33RD AVE NE
- City
- St Anthony
- State
- Minnesota
- ZIP Code
- 55418-1539
- Phone
- (612) 781-9270
Authorized Official
- Name
- JOSEPH B OSTERBAUER, D.D.S.
- Title
- PRESIDENT
- Phone
- (612) 781-9270
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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