Individual
ANNALISE LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, DT
Contact information
Practice address
3060 WOODBURY DR, WOODBURY, MN 55129
(651) 427-4893
Mailing address
3060 WOODBURY DRIVE, WOODBURY, MN 55129
(651) 427-4893
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT134
MN
Other
Enumeration date
08/04/2020
Last updated
02/03/2026
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