Individual
DR. KATIE FERRAZ-SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
301 ELDORADO DR, JORDAN, MN 55352-1584
(952) 492-2021
Mailing address
301 ELDORADO DR, JORDAN, MN 55352-1584
(952) 492-2021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D12669
MN
1223G0001X
General Practice Dentistry
Primary
D12669
MN
Other
Enumeration date
06/02/2009
Last updated
01/21/2026
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