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Individual

LINDA LIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DT, RDH

Contact information

Practice address
2232 HENNEPIN AVE, MINNEAPOLIS, MN 55405-2737
(612) 377-6108
Mailing address
9321 W 126TH ST, SAVAGE, MN 55378-1183

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH11190
MN
125J00000X
Dental Therapist
Primary
DT154
MN

Other

Enumeration date
07/31/2023
Last updated
07/31/2023
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