Individual
DR. MARY J. PARISEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1975 11TH AVE E, MAPLEWOOD, MN 55109-5148
(651) 770-2900
(651) 770-1014
Mailing address
1975 11TH AVE E, MAPLEWOOD, MN 55109-5148
(651) 770-2900
(651) 770-1014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9702
MN
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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