Organization
DANIEL O ODEGAARD DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL O ODEGAARD DDS (CEO)
(612) 332-2618
Entity
Organization
Contact information
Practice address
825 NICOLLET MALL, STE 1001, MINNEAPOLIS, MN 55402-2614
(612) 332-2618
(612) 332-5972
Mailing address
825 NICOLLET MALL, STE 1001, MINNEAPOLIS, MN 55402-2614
(612) 332-2618
(612) 332-5972
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7836
MN
Other
Enumeration date
04/05/2006
Last updated
08/22/2020
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