Individual
KATELYN BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
(612) 625-0402
Mailing address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H11205
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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