Individual
TAYLOR MARIE WEERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
908 ALBION AVE, FAIRMONT, MN 56031-3007
(507) 525-3405
Mailing address
908 ALBION AVE, FAIRMONT, MN 56031-3007
(507) 525-3405
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT182
MN
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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