Individual
LEILANI L LABELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS MS
Contact information
Practice address
12000 ELM CREEK BLVD, #320, MAPLE GROVE, MN 55369
(763) 420-0200
(763) 420-0204
Mailing address
12000 ELM CREEK BLVD, #320, MAPLE GROVE, MN 55369
(763) 420-0200
(763) 420-0204
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D9944
MN
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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