Individual
DR. AUDRA ANN WESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
8910 PENN AVE S, BLOOMINGTON, MN 55431-2025
(952) 881-0504
(952) 884-0188
Mailing address
14072 ZINRAN AVE, SAVAGE, MN 55378-2158
(952) 445-6494
(952) 884-0188
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10916
MN
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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