Organization
OCEANVIEW MANAGEMENT INC
Active
Other names
Dentures ASP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID E DOMAAS (PRESIDENT)
(763) 218-5350
Entity
Organization
Contact information
Practice address
15910 46TH AVE N, PLYMOUTH, MN 55446
(763) 218-5350
(763) 561-5761
Mailing address
15910 46TH AVE N, PLYMOUTH, MN 55446
(763) 218-5350
(763) 561-5761
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9409
MN
Other
Enumeration date
09/20/2006
Last updated
11/29/2007
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