Individual
BROOKE WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1313 PENN AVE N, MINNEAPOLIS, MN 55411-3047
(612) 543-2582
Mailing address
1313 PENN AVE N, MINNEAPOLIS, MN 55411-3047
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14737
MN
Other
Enumeration date
06/08/2022
Last updated
08/02/2022
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