Individual
EMILY L EGGEBRECHT PIETIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
636 BROADWAY ST NE, MINNEAPOLIS, MN 55413-2164
(612) 746-1530
Mailing address
3401 SHEPHERD HILLS CIR, BLOOMINGTON, MN 55431-1537
(612) 412-8102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12829
MN
Other
Enumeration date
06/03/2010
Last updated
08/08/2014
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