Otsego Dental

NPI #1962676825 in Otsego, Minnesota

Provider Information

NPI Number: 1962676825
Entity Type: Organization
Organization Name: Otsego Dental
Primary Specialty: Dentist
Enumeration Date: Apr 22, 2008
Last Updated: Apr 22, 2008

Practice Location

Address: 9075 QUADAY AVE NE
Address 2: SUITE 101
City: Otsego
State: Minnesota
ZIP Code: 55330-6672
Phone: (763) 441-2452

Authorized Official

Name: PAUL SHEILS, DDS
Title: DENTIST/OWNER
Phone: (763) 441-2452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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