Individual
LEAH LOEHNDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDT
Contact information
Practice address
4128 2ND ST S, SAINT CLOUD, MN 56301-3704
(320) 774-2556
(320) 774-2559
Mailing address
13301 MAPLE KNOLL WAY, APT 1705, MAPLE GROVE, MN 55369-5006
(414) 651-1000
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT54
MN
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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