Individual
SARA MOGENSEN SCHADEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
515 DELAWARE ST SE FL 6, MINNEAPOLIS, MN 55455-0357
(612) 625-6444
Mailing address
9033 PEONY LN N, MAPLE GROVE, MN 55311-4417
(414) 736-7472
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14160
MN
Other
Enumeration date
04/26/2018
Last updated
12/20/2023
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