Whalio Doctors

NPI 1407048853

Leann Caroll Bain, RDA

Practitioner Dental Assistant Woodbury, MN

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
Dental Providers Taxonomy 126800000X Licence A3972 (MN)

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.