Individual
MEGAN MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.T.
Contact information
Practice address
1670 BEAM AVE, #204, MAPLEWOOD, MN 55109-1201
(651) 925-8400
Mailing address
720 W LAKE STREET, #321, MINNEAPOLIS, MN 55408
(509) 981-0365
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
DT11
MN
Other
Enumeration date
04/10/2012
Last updated
05/14/2012
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