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1265586192
OSAGE DENTAL ASSOCIATES PA
COON RAPIDS, MN
NPI
1265586192
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Entity Type
Organization
Authorized Contact
TAMMY SHADRICK
Om
763-757-6600
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: MN 9770)
Enumeration Date
2007-01-22
Last Update Date
2020-08-22
Business Address
OSAGE DENTAL ASSOCIATES PA
11441 OSAGE ST NW
COON RAPIDS, MN 55433-3677
Phone number: 763-757-6600
Copy
Mailing Address
OSAGE DENTAL ASSOCIATES PA
11441 OSAGE ST NW
COON RAPIDS, MN 55433-3677
Phone number: 763-757-6600
Copy
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