Organization
OTSEGO DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL SHEILS DDS (DENTIST/OWNER)
(763) 441-2452
Entity
Organization
Contact information
Practice address
9075 QUADAY AVE NE, SUITE 101, OTSEGO, MN 55330-6672
(763) 441-2452
(763) 441-7675
Mailing address
9075 QUADAY AVE NE, SUITE 101, OTSEGO, MN 55330-6672
(763) 441-2452
(763) 441-7675
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10405
MN
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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