Organization
GREAT ODENS, LLC
Active
Other names
Riverbend Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLEY ODENS DDS (OWNER)
(701) 370-3200
Entity
Organization
Contact information
Practice address
241 CLEVELAND AVE S STE D, SAINT PAUL, MN 55105-1208
(651) 699-3212
(651) 698-8898
Mailing address
241 CLEVELAND AVE S STE D, SAINT PAUL, MN 55105-1208
(651) 699-3212
(651) 698-8898
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13542
MN
Other
Enumeration date
04/14/2018
Last updated
11/19/2020
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