Individual
NIKKI DANA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
1650 W 82ND ST STE 850, BLOOMINGTON, MN 55431-1460
(952) 432-6471
Mailing address
18407 LAFAYETTE WAY, LAKEVILLE, MN 55044-4727
(952) 649-9393
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6135
MN
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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