NPI 1407048853
Leann Caroll Bain, RDA
Practice location
- Address
- 1789 Woodlane Dr Suite D, Woodbury, MN 55125-3910
- Phone
- (651) 738-1284
- Fax
- (651) 738-0072
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1407048853
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Aug 2007
- Record last updated
- 9 Aug 2007
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.