Individual
KATHERINE ANNETTE SIEVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1670 BEAM AVE, MAPLEWOOD, MN 55109-1201
(651) 925-8400
Mailing address
1229 237TH AVE NW, SAINT FRANCIS, MN 55070-9633
(763) 498-4922
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13114
MN
Other
Enumeration date
06/10/2012
Last updated
06/10/2012
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