Individual
DR. TEODORA NIKOLAEVA BAYLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2233 HAMLINE AVE N, ROSEVILLE, MN 55113-5009
(651) 636-0655
Mailing address
2233 HAMLINE AVE N STE 320, SAINT PAUL, MN 55113-5005
(651) 636-0655
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12717
MN
Other
Enumeration date
05/17/2010
Last updated
02/23/2016
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