Individual
DR. MORA LYNN CERVENKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
201 W RAVEN ST, BELLE PLAINE, MN 56011-1704
(952) 873-6380
(952) 873-6382
Mailing address
201 W RAVEN ST, BELLE PLAINE, MN 56011-1704
(952) 873-6380
(952) 873-6382
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11701
MN
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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