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Individual

DR. CAROL JEAN AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
10709 W WAYZATA BLVD, SUITE 220, MINNETONKA, MN 55305-5509
(952) 544-5900
(952) 544-5999
Mailing address
10709 W WAYZATA BLVD, SUITE 220, MINNETONKA, MN 55305-5509
(952) 544-5900
(952) 544-5999

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8383
MN

Other

Enumeration date
09/16/2006
Last updated
07/08/2007
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