Individual
VICTORIA ANN SEVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
501 W COLLEGE DR, BRAINERD, MN 56401-3904
(218) 855-8244
(218) 855-8270
Mailing address
501 W COLLEGE DR, BRAINERD, MN 56401-3904
(218) 855-8244
(218) 855-8270
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13376
MN
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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