Individual
MARIA JESSENIA WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
50 MCANDREWS RD E, BURNSVILLE, MN 55337-5718
(952) 892-5050
Mailing address
50 MCANDREWS RD E, BURNSVILLE, MN 55337-5718
(952) 892-5050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D15286
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D15286
MINNESOTA BOARD OF DENTISTRY
MN
Enumeration date
05/29/2025
Last updated
05/31/2025
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