Individual
KATY NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
405 BABCOCK BLVD E STE 130, DELANO, MN 55328-9144
(763) 276-1410
(763) 276-1411
Mailing address
405 BABCOCK BLVD E STE 130, DELANO, MN 55328-9144
(763) 276-1410
(763) 276-1411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14012
MN
Other
Enumeration date
05/17/2018
Last updated
06/16/2018
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