Organization
ORAL AND MAXILLOFACIAL SURGICAL CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBI KECKHAFER RN (PRACTICE MANAGER)
(952) 841-9658
Entity
Organization
Contact information
Practice address
7373 FRANCE AVE S, SUITE 602, EDINA, MN 55435-4534
(952) 835-5003
Mailing address
7373 FRANCE AVE S, SUITE 602, EDINA, MN 55435-4534
(952) 835-5003
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/14/2006
Last updated
06/25/2015
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