Individual
DR. ANN MARIE THIELE BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6545 FRANCE AVE S, SUITE 390, EDINA, MN 55435-2131
(952) 926-3534
(952) 926-7085
Mailing address
4912 13TH AVE S, MINNEAPOLIS, MN 55417-1117
(612) 236-4268
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11934
MN
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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