Individual
DR. AMY JEAN KEBRIAEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
17510 DODD BLVD, LAKEVILLE, MN 55044
(952) 997-7100
(952) 997-2017
Mailing address
17510 DODD BLVD, LAKEVILLE, MN 55044
(952) 997-7100
(952) 997-2017
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
6709
NE
1223P0221X
Pediatric Dentistry
Primary
D12729
MN
Other
Enumeration date
07/10/2007
Last updated
07/08/2009
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