Individual
SHELLY D JOUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1700 WEST HIGHWAY 36, SUITE 860, ROSEVILLE, MN 55113
(651) 778-9911
Mailing address
10902 IDAHO AVE N, CHAMPLIN, MN 55316-3827
(612) 877-1788
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H9056
MN
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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