Individual
AMANDA REINSBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
A10660
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A10660
MINNESOTA BOARD OF DENTISTRY
MN
Enumeration date
03/13/2015
Last updated
03/13/2015
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