Individual
CORISSA JULIE FLAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1700 HIGHWAY 36 W, STE 860, SAINT PAUL, MN 55113-4034
(651) 778-9911
Mailing address
11321 IBIS ST NW, COON RAPIDS, MN 55433-3750
(763) 238-2136
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H8180
MN
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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