Individual
THERESA MARIE AYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
6601 LYNDALE AVE S STE 230, RICHFIELD, MN 55423-2479
(612) 866-1234
Mailing address
6601 LYNDALE AVE S STE 230, RICHFIELD, MN 55423-2479
(612) 866-1234
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT76
MN
Other
Enumeration date
09/26/2017
Last updated
09/26/2017
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