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Individual

CHEE LOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DENTAL THERAPIST

Contact information

Practice address
728 E HENNEPIN AVE, MINNEAPOLIS, MN 55414-1126
(612) 746-1530
Mailing address
7024 HALIFAX AVE N, BROOKLYN CENTER, MN 55429-1374
(651) 336-5771

Taxonomy

Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT143
MN

Other

Enumeration date
06/04/2022
Last updated
06/04/2022
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