Individual
JAMES J O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1221 4TH AVE E, SUTIE 180, SHAKOPEE, MN 55379-1681
(952) 445-6657
(952) 445-0674
Mailing address
1221 4TH AVE E, SUTIE 180, SHAKOPEE, MN 55379-1681
(952) 445-6657
(952) 445-0674
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7455
MN
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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