Individual
DR. MITCHELL ANDREW LOEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
140 TWIN RIVERS CT, SARTELL, MN 56377-2015
(913) 620-2958
Mailing address
140 TWIN RIVERS CT, SARTELL, MN 56377-2015
(913) 620-2958
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2016016887
MO
122300000X
Dentist
Primary
D13864
MN
Other
Enumeration date
05/31/2016
Last updated
04/12/2021
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