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Individual

DR. BRIDGET JEAN LERVICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
5201 EDEN AVE, SUITE 120, EDINA, MN 55436
(952) 746-0225
(952) 746-0227
Mailing address
5201 EDEN AVE, SUITE 120, EDINA, MN 55436
(952) 746-0225
(952) 746-0227

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D12810
MN
1223G0001X
General Practice Dentistry
Primary
D12810
MN

Other

Enumeration date
06/30/2010
Last updated
07/07/2023
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