Individual
DR. JANNA RAE HOLMGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9600 UPLAND LN N STE 200, MAPLE GROVE, MN 55369-4496
(763) 416-0037
(763) 420-5428
Mailing address
4749 MARYLAND AVE N, CRYSTAL, MN 55428-4635
(763) 772-6304
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13814
MN
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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