Individual
MCKENZIE RAE BALEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1596 2ND AVE NE STE A, CAMBRIDGE, MN 55008-8069
(763) 689-5699
Mailing address
11974 WEDGEWOOD DR NW, COON RAPIDS, MN 55433-6702
(612) 244-1152
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14928
MN
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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