Individual
JACQUELINE MAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 4TH ST NW, FARIBAULT, MN 55021-5089
(507) 384-6830
Mailing address
2648 OAK LAWN DR, NORTHFIELD, MN 55057-3443
(612) 720-9689
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4714
MN
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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