Individual
ALISSA C MARONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
12425 55TH ST N STE B, LAKE ELMO, MN 55042-4450
(651) 439-0322
Mailing address
10757 STONEBRIDGE TRL N, STILLWATER, MN 55082-9569
(651) 491-2890
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7927
MN
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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