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Individual

DR. NELLIE KIM-WEROHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S., M.S.

Contact information

Practice address
1705 BROADWAY AVE S, ROCHESTER, MN 55904
(507) 288-4427
(507) 288-8497
Mailing address
1705 BROADWAY AVE S, ROCHESTER, MN 55904
(507) 288-4427
(507) 288-8497

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D12483
MN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2004013591
MO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D12483
MN

Other

Enumeration date
04/04/2007
Last updated
06/20/2023
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