Emily L Eggebrecht Pietig D.D.S.

NPI 1205156098 - Dentist - 122300000X

NPI Details
NPI 1205156098
Gender Female
Enumeration Date 06/03/2010
Last Updated 08/08/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
636 BROADWAY ST NE
MINNEAPOLIS MN, 55413-2164, US
Phone (612) 746-1530
Fax
Business Location
3401 SHEPHERD HILLS CIR
BLOOMINGTON MN, 55431-1537, US
Phone (612) 412-8102
Fax
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number D12829
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According to our database, Emily L Eggebrecht Pietig D.D.S. NPI is 1205156098, taxonomy code is 122300000X and license number is D12829, license state is located at Minnesota. Emily L Eggebrecht Pietig D.D.S. physically located at 636 Broadway St Ne, Minneapolis MN, 55413-2164. NPI Number Emily L Eggebrecht Pietig D.D.S. has the Individual type.

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1205156098 NPI number is provided on an as is basis without warranty of any kind. 1205156098 is maintained by the National Plan & Provider Enumeration System. The contents of Emily L Eggebrecht Pietig D.D.S. are for informational purposes only.