Individual
ELENI VOLTIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8650 HUDSON BLVD N STE 105, LAKE ELMO, MN 55042
(504) 230-9939
Mailing address
2106 LINDEN TRL, NORTH MANKATO, MN 56003-4233
(504) 230-9939
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
S109
MN
Other
Enumeration date
07/27/2016
Last updated
04/28/2020
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