Individual
MARA INGRID OVERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13899 HIGHWAY 13 SOUTH FRONTAGE ROAD, SAVAGE, MN 55378
(952) 440-2935
Mailing address
1000 8TH AVE NW, AUSTIN, MN 55912-2028
(507) 279-2185
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D15142
MN
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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