Individual
ALEKSA TATARYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1632 WASHINGTON ST NE, MINNEAPOLIS, MN 55413-1336
(612) 789-2853
Mailing address
4995 ROSEWOOD LN N, PLYMOUTH, MN 55442-2099
(763) 350-6503
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D15059
MN
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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