Individual
SHELI KAYE PARKISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4243 4TH AVE S, MINNEAPOLIS, MN 55409-2113
(612) 822-9030
Mailing address
4243 4TH AVE S, MINNEAPOLIS, MN 55409-2113
(612) 822-9030
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT72
MN
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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