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Individual

MRS. AMY CAROL PIECHOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
1121 PEBBLE LAKE RD, FERGUS FALLS, MN 56537
(218) 770-4799
Mailing address
217 WEGENER DR, BRECKENRIDGE, MN 56520-1009
(218) 643-5805

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5214
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
518655200
MN
Enumeration date
07/29/2008
Last updated
07/29/2008
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