Individual
DR. ROSEMARY LELICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3090 QUINWOOD LN N, PLYMOUTH, MN 55441-2807
(612) 309-2322
Mailing address
3090 QUINWOOD LN N, PLYMOUTH, MN 55441-2807
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D13457
MN
Other
Enumeration date
07/19/2014
Last updated
07/19/2014
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