Organization
OMEGA DENTAL CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNELLE SOBERAY DDS (PRESIDENT)
(952) 460-9100
Entity
Organization
Contact information
Practice address
6203 DELL RD, EDEN PRAIRIE, MN 55346-1122
(952) 460-9100
Mailing address
1161 WAYZATA BLVD E # 210, WAYZATA, MN 55391-1935
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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