Individual
MISS EMILY RAE DICKINSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
14393 HWY 13 S, SAVAGE, MN 55378-2153
(952) 440-2292
(952) 440-2935
Mailing address
14393 HWY 13 S, SAVAGE, MN 55378-2153
(952) 440-2292
(952) 440-2935
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT140
MN
Other
Enumeration date
07/22/2021
Last updated
07/29/2024
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