Individual
GINA MARIE BUCHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADT
Contact information
Practice address
5001 WINNETKA AVE N, NEW HOPE, MN 55428-4230
(763) 533-0055
(763) 533-0057
Mailing address
4100 SHORELINE DR STE 4, SPRING PARK, MN 55384-4527
(952) 224-9775
(952) 224-9774
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT52
MN
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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