Individual
MOLLY MATUSIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 43RD ST NW, ROCHESTER, MN 55901-5847
(507) 287-8320
(507) 281-8757
Mailing address
3000 43RD ST NW, ROCHESTER, MN 55901-5847
(507) 287-8320
(507) 281-8757
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
89
MN
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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