OrganizationActive
Abba Healthcare PLLC
NPI 1023872835 · Dental Clinic/Center · Cottage Grove, MN
Provider details
- NPI number
- 1023872835
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ebosetale Okoruwa, Owner Doctor(712) 309-6588
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
6936 Pine Arbor Dr S Ste 230
Cottage Grove, MN 55016-4645
Phone: (651) 204-5257
Approximate (ZIP-level) locationGet directions
Mailing address
2052 Irene St
Roseville, MN 55113-6613
Other names (DBA / former)
- Doing business as
- Cottage Grove Pediatric Dentistry
Registry dates
- Enumerated
- 2024-02-12
- Last updated
- 2024-02-12
- Certified
- 2024-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.