Individual
ROBERTA SANTOS SOUZA DIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
320 W MYRTLE ST STE 100, DULUTH, MN 55811-4457
(218) 491-8058
Mailing address
3120 NORTHDALE BLVD NW UNIT 427, COON RAPIDS, MN 55433-3020
(651) 342-3678
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D15335
MN
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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