NPI 1174852305

Mary Doberstein, BSGDH

Practitioner Dental Hygienist Minneapolis, MN

Practice location

Address: 636 Broadway St NE, Minneapolis, MN 55413-2164
Phone: (612) 746-1530
Fax: (612) 746-1531

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence H2139 (MN)

Other Dental Hygienist providers in Minnesota →

Registry record

NPI: 1174852305
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Dec 2009
Record last updated: 17 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.