Organization
ESTHESIA ORAL SURGERY CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MAURICE KEANE JR. DDS (OWNER/ORAL SURGEON)
(952) 920-3844
Entity
Organization
Contact information
Practice address
3400 W 66TH ST, SUITE 270, EDINA, MN 55435-2111
(952) 920-3844
(952) 920-3008
Mailing address
3400 W 66TH ST, SUITE 270, EDINA, MN 55435-2111
(952) 920-3844
(952) 920-3008
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
9671
MN
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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