Individual
MRS. MICHELLE O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDA
Contact information
Practice address
9950 VALLEY CREEK RD, WOODBURY, MN 55125-4883
(651) 578-7000
Mailing address
9950 VALLEY CREEK RD, WOODBURY, MN 55125-4883
(651) 578-7000
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
9106
MN
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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