Individual
DR. LAUREN OLIVIA NEITZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6437 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429
(763) 531-7177
Mailing address
6437 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-2141
(763) 531-7177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13825
MN
Other
Enumeration date
05/18/2017
Last updated
06/04/2018
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