Organization
ST. ANTHONY VILLAGE DENTAL CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH B OSTERBAUER D.D.S. (PRESIDENT)
(612) 781-9270
Entity
Organization
Contact information
Practice address
2525 33RD AVE NE, ST ANTHONY, MN 55418-1539
(612) 781-9270
Mailing address
2525 33RD AVE NE, ST ANTHONY, MN 55418-1539
(612) 781-9270
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D10494
MN
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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