Individual
DR. AMY ELIZABETH DAHLGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4255 PHEASANT RIDGE DR NE, BLAINE, MN 55449-4537
(763) 225-6100
Mailing address
2334 119TH AVE NE, BLAINE, MN 55449-5412
(651) 246-7367
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12949
MN
1223G0001X
General Practice Dentistry
Primary
12949
MN
Other
Enumeration date
08/10/2011
Last updated
09/30/2012
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