| Esthesia Oral Surgery Care, Pa | |
|
3400 W 66th St Suite 270 Edina MN 55435-2111 | |
| (952) 920-3844 | |
| (952) 920-3008 |
| Full Name | Esthesia Oral Surgery Care, Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 3400 W 66th St, Edina, Minnesota |
| Authorized Official Name and Position | Thomas Maurice Keane (OWNER/ORAL SURGEON) |
| Authorized Official Contact | 9529203844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Esthesia Oral Surgery Care, Pa 3400 W 66th St Suite 270 Edina MN 55435-2111 Ph: (952) 920-3844 | Esthesia Oral Surgery Care, Pa 3400 W 66th St Suite 270 Edina MN 55435-2111 Ph: (952) 920-3844 |
| NPI Number | 1780855171 |
|---|---|
| Provider Enumeration Date | 03/13/2008 |
| Last Update Date | 03/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780855171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 9671 (Minnesota) | Primary |
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