| Abba Healthcare Pllc | |
|
6936 Pine Arbor Dr S Ste 230 Cottage Grove MN 55016-4645 | |
| (651) 204-5257 | |
| Not Available |
| Full Name | Abba Healthcare Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6936 Pine Arbor Dr S Ste 230, Cottage Grove, Minnesota |
| Authorized Official Name and Position | Ebosetale Okoruwa (OWNER DOCTOR) |
| Authorized Official Contact | 7123096588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abba Healthcare Pllc 2052 Irene St Roseville MN 55113-6613 Ph: (712) 309-6588 | Abba Healthcare Pllc 6936 Pine Arbor Dr S Ste 230 Cottage Grove MN 55016-4645 Ph: (651) 204-5257 |
| NPI Number | 1023872835 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 02/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023872835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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