Individual
ALISON LEE KOMAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
11721 STINSON AVE, CHISAGO CITY, MN 55013-9542
(651) 257-2921
Mailing address
690 CANEDAY CT, TAYLORS FALLS, MN 55084-2204
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12207
MN
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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