Organization
OSSEO FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM KOTONIAS DDS (DENTIST)
(763) 533-8669
Entity
Organization
Contact information
Practice address
30 CENTRAL AVE, OSSEO, MN 55369-1241
(763) 425-2626
(763) 425-3070
Mailing address
30 CENTRAL AVE, OSSEO, MN 55369-1241
(763) 425-2626
(763) 425-3070
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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