| Owatonna Endodontics, Llc | |
|
125 28th St Ne Ste 1 Owatonna MN 55060-2560 | |
| (507) 242-1441 | |
| Not Available |
| Full Name | Owatonna Endodontics, Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 125 28th St Ne Ste 1, Owatonna, Minnesota |
| Authorized Official Name and Position | Robert Thomas Beasley (DENTIST) |
| Authorized Official Contact | 5072421441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owatonna Endodontics, Llc 18599 Verna Ln Prior Lake MN 55372-9730 Ph: (215) 667-9440 | Owatonna Endodontics, Llc 125 28th St Ne Ste 1 Owatonna MN 55060-2560 Ph: (507) 242-1441 |
| NPI Number | 1164096665 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 08/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164096665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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