Organization
OWATONNA ENDODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT THOMAS BEASLEY DMD (DENTIST)
(507) 242-1441
Entity
Organization
Contact information
Practice address
125 28TH ST NE STE 1, OWATONNA, MN 55060-2560
(507) 242-1441
Mailing address
18599 VERNA LN, PRIOR LAKE, MN 55372-9730
(215) 667-9440
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
08/30/2021
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