Individual
AMANDA HELGERSON DE LOS RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
16372 KENRICK AVE, LAKEVILLE, MN 55044-3540
(952) 435-5905
Mailing address
16372 KENRICK AVE, LAKEVILLE, MN 55044-3540
(952) 435-5905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14211
MN
Other
Enumeration date
05/22/2019
Last updated
08/30/2024
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