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Organization

O'BRIEN DENTAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JODEEN J O'BRIEN DDS (OWNER/DENTIST)
(952) 445-6657
Entity
Organization

Contact information

Practice address
250 FULLER ST S, SUITE 250, SHAKOPEE, MN 55379
(952) 445-6657
(952) 445-0674
Mailing address
250 FULLER ST S, SUITE 250, SHAKOPEE, MN 55379
(952) 445-6657
(952) 445-0674

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
09/21/2006
Last updated
02/15/2019
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