Organization
SCOTT C. OSBORN D.D.S. AND ASSOCIATES PA
Active
Other names
Nicollet Station Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI JACOBS (OFFICE MANAGER)
(612) 338-5557
Entity
Organization
Contact information
Practice address
510 MARQUETTE AVE, SUITE 100, MINNEAPOLIS, MN 55402-1110
(612) 338-5557
(612) 373-0602
Mailing address
510 MARQUETTE AVE, SUITE 100, MINNEAPOLIS, MN 55402-1110
(612) 338-5557
(612) 373-0602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MN
Other
Enumeration date
11/30/2006
Last updated
07/21/2022
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