Individual
DANIELLE MARIE RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, DT
Contact information
Practice address
2900 CHICAGO AVE, MINNEAPOLIS, MN 55407-1322
(612) 823-2080
Mailing address
2900 CHICAGO AVE, MINNEAPOLIS, MN 55407-1322
(612) 823-2080
(612) 259-7850
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
H10120
MN
125J00000X
Dental Therapist
Primary
DT110
MN
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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