Individual
DANIELA CAROLINA LLAQUE DABOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
(612) 624-2128
Mailing address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
(612) 624-2128
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
FF80
MN
Other
Enumeration date
07/15/2019
Last updated
03/16/2022
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