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Oz Family Dentistry, P.C.

Dentist, General Practice in Mankato, MN. Organization (NPI-2).

NPI number1962525261
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1962525261
Entity type
Organization (NPI-2)
Legal business name
Oz Family Dentistry, P.C.
Organization subpart
No
Enumeration date
Apr 9, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeD9651MNYes

Practice location

1550 Adams St
Mankato, MN 56001-5192

Phone 507-387-2603 · Fax 507-387-4112

Mailing address

1550 Adams St
Mankato, MN 56001-5192

Phone 507-387-2603 · Fax 507-387-4112

Authorized official

Daniel M. Osdoba
President
5073872603

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