Individual
DR. LISA JANE CEPEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4000 CENTRAL AVE NE STE 308, COLUMBIA HEIGHTS, MN 55421-2971
(763) 781-7475
(763) 781-0828
Mailing address
3337 BROWNLOW AVE, SAINT LOUIS PARK, MN 55426-4217
(952) 240-5900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12168
MN
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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