Individual
TAYLOR RAE MIELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, MDT
Contact information
Practice address
210 OLD HIGHWAY 61 S, HINCKLEY, MN 55037-8375
(320) 384-6118
Mailing address
9380 460TH ST, HARRIS, MN 55032-3015
(651) 219-3405
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
H11987
MN
125J00000X
Dental Therapist
Primary
DT179
MN
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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