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Individual

DR. MACKENSIE JANE TAPPE MCBEAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
3359 W BROADWAY AVE, ROBBINSDALE, MN 55422-2928
(763) 270-5776
Mailing address
3359 W BROADWAY AVE, ROBBINSDALE, MN 55422-2928
(312) 996-1052
(312) 996-5987

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13436
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/28/2014
Last updated
10/30/2018
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