NPI 1619435682
Maureen O'Sullivan, ADT
Practice location
- Address
- 385 S Owasso Blvd W, Roseville, MN 55113-2119
- Phone
- (612) 801-5203
Registered specialties (2)
Advanced Practice Dental Therapist
Primary
Dental Hygienist
Registry record
- NPI
- 1619435682
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Mar 2019
- Record last updated
- 19 Jun 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.