Individual
ALEXIE PORTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13040 RIVERDALE DR NW STE 600, COON RAPIDS, MN 55448-8419
(763) 323-3042
Mailing address
117 27TH AVE SE UNIT 169, MINNEAPOLIS, MN 55414-4414
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14769
MN
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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