Organization
OSBERG PESOLA SCAMP KAIVO DDS PA
Active
Other names
Parkway Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY ANN GERTNER (OFFICE MANAGER)
(612) 824-4211
Entity
Organization
Contact information
Practice address
16518 WEST 78TH STREET, EDEN PRAIRIE, MN 55346
(952) 937-2137
(952) 937-5820
Mailing address
16518 WEST 78TH STREET, EDEN PRAIRIE, MN 55346
(952) 937-2137
(952) 937-5820
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/03/2006
Last updated
08/22/2020
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