Individual
SANDRA KAY WEITEMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
25555 GRAMFORD AVE, WYOMING, MN 55092-9356
(651) 402-3356
Mailing address
25555 GRAMFORD AVE, WYOMING, MN 55092-9356
(651) 402-3356
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6188
MN
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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