Individual
LEAH SVINGEN MCCOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1670 BEAM AVE STE 204, MAPLEWOOD, MN 55109-1227
(651) 925-8400
Mailing address
305 RUBY DR, WEST ST PAUL, MN 55118-3029
(651) 343-5705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14008
MN
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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