Individual
DR. LEE ANN HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 CO RD 101 N, PLYMOUTH, MN 55447
(763) 475-2820
Mailing address
3635 ALVARADO LN N, PLYMOUTH, MN 55446-2879
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10013
MN
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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