Individual
JESSICA SEUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
525 ZIRCON LN N, PLYMOUTH, MN 55447-3364
(952) 210-0213
Mailing address
525 ZIRCON LN N, PLYMOUTH, MN 55447-3364
(952) 210-0213
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14310
MN
122300000X
Dentist
DN015238
GA
Other
Enumeration date
07/13/2016
Last updated
03/02/2021
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