Individual
DEBORAH JEAN LIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MBS
Contact information
Practice address
132 2ND AVENUE NE, BLOOMING PRAIRIE, MN 55917
(507) 583-6613
Mailing address
4409 ROSSI CT NW, ROCHESTER, MN 55901-8653
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D9546
MN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D9546
MN
Other
Enumeration date
05/17/2007
Last updated
03/09/2023
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