Individual
MARI BELLMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4640 NICOLS RD, 100, EAGAN, MN 55122-2306
(651) 454-1414
(651) 454-7987
Mailing address
4640 NICOLS RD, 100, EAGAN, MN 55122-2306
(651) 454-1414
(651) 454-7987
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12392
MN
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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