Individual
BREANNA BESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5220 CENTRAL AVE NE STE 240, COLUMBIA HEIGHTS, MN 55421-1823
(763) 275-1319
Mailing address
11902 EMERY VILLAGE DR N, CHAMPLIN, MN 55316-2491
(612) 619-3343
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14931
MN
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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