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Individual

SEAN O'DELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
3507 ROUND LAKE BLVD NW STE 900, ANOKA, MN 55303-4908
(763) 323-7677
Mailing address
3507 ROUND LAKE BLVD NW STE 900, ANOKA, MN 55303-4908
(763) 323-7677

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D13934
MN

Other

Enumeration date
05/24/2013
Last updated
09/24/2019
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