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Individual

CECILY GIAQUINTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2370 PALMER DR, NEW BRIGHTON, MN 55112-2462
(651) 842-8426
Mailing address
2370 PALMER DR, NEW BRIGHTON, MN 55112-2462
(815) 342-9075

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14696
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/07/2021
Last updated
08/16/2022
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