| Daniel O Odegaard DDS PA | |
|
825 Nicollet Mall Ste 1001 Minneapolis MN 55402-2614 | |
| (612) 332-2618 | |
| (612) 332-5972 |
| Full Name | Daniel O Odegaard DDS PA |
|---|---|
| Speciality | Dentist |
| Location | 825 Nicollet Mall, Minneapolis, Minnesota |
| Authorized Official Name and Position | Daniel O Odegaard (CEO) |
| Authorized Official Contact | 6123322618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel O Odegaard DDS PA 825 Nicollet Mall Ste 1001 Minneapolis MN 55402-2614 Ph: (612) 332-2618 | Daniel O Odegaard DDS PA 825 Nicollet Mall Ste 1001 Minneapolis MN 55402-2614 Ph: (612) 332-2618 |
| NPI Number | 1083676944 |
|---|---|
| Provider Enumeration Date | 04/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083676944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D7836 (Minnesota) | Primary |
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