Individual
MS. MARY L SEDIVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1480 YANKEE DOODLE RD, EAGAN, MN 55121-1801
(651) 452-3333
Mailing address
1480 YANKEE DOODLE RD, EAGAN, MN 55121-1801
(651) 452-3333
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11180
MN
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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