Individual
DR. ELISABETH L DOMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2701 NICOLLET AVE, MINNEAPOLIS, MN 55408-1631
(612) 874-7674
(612) 874-1117
Mailing address
2701 NICOLLET AVE, MINNEAPOLIS, MN 55408-1631
(612) 874-7674
(612) 874-1117
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6683-15
WI
122300000X
Dentist
Primary
D12939
MN
Other
Enumeration date
08/01/2011
Last updated
08/26/2013
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