Individual
DR. MELISSA THALKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
24920 295TH AVE, LONG PRAIRIE, MN 56347-4614
(612) 600-9690
Mailing address
24920 295TH AVE, LONG PRAIRIE, MN 56347-4614
(612) 600-9690
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12101
MN
Other
Enumeration date
09/25/2006
Last updated
11/08/2013
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