Individual
MACKENZIE COLINEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
(612) 625-5000
Mailing address
720 N 4TH ST UNIT 410, MINNEAPOLIS, MN 55401-1947
(412) 916-5841
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D15336
MN
1223G0001X
General Practice Dentistry
D15336
MN
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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