Individual
DR. NICOLE LEIGH TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
57 BIRCH AVE S, MAPLE LAKE, MN 55358-4570
(320) 963-3794
Mailing address
57 BIRCH AVE S, MAPLE LAKE, MN 55358-4570
(320) 963-3794
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13234
MN
Other
Enumeration date
06/03/2013
Last updated
09/15/2020
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