| Justin T. Ostrem D.d.s. Pa | |
|
9655 Schmidt Lake Rd Ste 200 Plymouth MN 55442-4530 | |
| (763) 536-1272 | |
| Not Available |
| Full Name | Justin T. Ostrem D.d.s. Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9655 Schmidt Lake Rd Ste 200, Plymouth, Minnesota |
| Authorized Official Name and Position | Justin T Ostrem (OWNER) |
| Authorized Official Contact | 7635361272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Justin T. Ostrem D.d.s. Pa 9655 Schmidt Lake Rd Ste 200 Plymouth MN 55442-4530 Ph: (763) 536-1272 | Justin T. Ostrem D.d.s. Pa 9655 Schmidt Lake Rd Ste 200 Plymouth MN 55442-4530 Ph: (763) 536-1272 |
| NPI Number | 1124773460 |
|---|---|
| Provider Enumeration Date | 02/15/2022 |
| Last Update Date | 02/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124773460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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