Individual
ALISSA MARGARET BARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
(612) 625-2495
Mailing address
221 1ST AVE NE APT 31, MINNEAPOLIS, MN 55413-3205
(952) 215-5488
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14907
MN
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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