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Individual

DR. PATRICIA FERNANDES BOETTNER

Active
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Individual

DR. PATRICIA FERNANDES BOETTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, MS

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D13422
MN
122300000X
Dentist
FL34
MN
1223X2210X
Orofacial Pain Dentistry
Primary
D13422
MN
261QM1300X
Multi-Specialty Clinic/Center
D13422
MN

Other

Enumeration date
11/28/2011
Last updated
02/09/2026
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