Individual
MISS VICKI MARIE SCHWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9950 VALLEY CREEK ROAD, SUITE 100, WOODBURY, MN 55125
(612) 850-5813
Mailing address
9950 VALLEY CREEK ROAD, SUITE 100, WOODBURY, MN 55125
(612) 850-5813
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
A8428
MN
126800000X
Dental Assistant
A8428
MN
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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