Individual
VIA MARITH NESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4243 4TH AVE S, MINNEAPOLIS, MN 55409-2198
(612) 822-9030
Mailing address
4023 14TH AVE S APT 2A, MINNEAPOLIS, MN 55407-3257
(612) 723-2218
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H10442
MN
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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