Individual
HOLLY MARIE MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
250 FULLER ST. S., SUITE 250, SHAKOPEE, MN 55379
(952) 445-6657
(952) 445-0674
Mailing address
250 FULLER ST. S., SUITE 250, SHAKOPEE, MN 55379
(952) 445-6657
(952) 445-0674
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12966
MN
Other
Enumeration date
05/24/2011
Last updated
03/26/2019
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