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DR. JUSTIN TODD OSTREM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
9655 SCHMIDT LAKE RD STE 200, PLYMOUTH, MN 55442-4530
(763) 536-1272
(763) 536-1387
Mailing address
4600 LAKE RD AVE, ROBBINSDALE, MN 55422
(763) 536-1272
(763) 536-1387

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11722
MN

Other

Enumeration date
12/01/2006
Last updated
12/04/2019
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