Individual
DR. DANIEL M. OSDOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1550 ADAMS ST, MANKATO, MN 56001-5192
(507) 387-2603
(507) 387-4112
Mailing address
1550 ADAMS ST, MANKATO, MN 56001-5192
(507) 387-2603
(507) 387-4112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9651
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41492OS
BCBS
MN
Enumeration date
04/09/2007
Last updated
07/08/2007
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