Organization
JUSTIN T. OSTREM D.D.S. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN T OSTREM DDS (OWNER)
(763) 536-1272
Entity
Organization
Contact information
Practice address
9655 SCHMIDT LAKE RD STE 200, PLYMOUTH, MN 55442-4530
(763) 536-1272
Mailing address
9655 SCHMIDT LAKE RD STE 200, PLYMOUTH, MN 55442-4530
(763) 536-1272
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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