# ESTHESIA ORAL SURGERY CARE, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780855171
- **Authorized official:** DR. THOMAS MAURICE KEANE JR. DDS (OWNER/ORAL SURGEON)
- **Authorized official phone:** (952) 920-3844

## Contact information

- **Practice address:** 3400 W 66TH ST, SUITE 270, EDINA, MN 55435-2111
- **Practice address phone:** (952) 920-3844
- **Practice address fax:** (952) 920-3008
- **Mailing address:** 3400 W 66TH ST, SUITE 270, EDINA, MN 55435-2111
- **Mailing address phone:** (952) 920-3844
- **Mailing address fax:** (952) 920-3008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | 9671 | MN | Yes |

## Other

- **Enumeration date:** 03/13/2008
- **Last updated:** 03/13/2008