Individual
DR. MICHELLE BEBEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1566 125TH AVE NE, BLAINE, MN 55449-4749
(763) 757-1535
(763) 757-0805
Mailing address
1566 125TH AVE NE, BLAINE, MN 55449-4749
(763) 757-1535
(763) 757-0805
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11239
MN
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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