Individual
HEIDI PETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9630 GROVE CIR N, MAPLE GROVE, MN 55369-3464
(763) 420-5484
Mailing address
9630 GROVE CIR N STE 102, MAPLE GROVE, MN 55369-3480
(763) 420-5484
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14559
MN
Other
Enumeration date
06/07/2021
Last updated
07/02/2021
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