Jacqueline Sumzin, DDS Valid NPI
Individual provider · Dentist · Lino Lakes, MN
- NPI
- 1003370305
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- D15047 (MN)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2019-01-31
- Last updated
- 2024-08-07
Practice location
601 Apollo Dr Ste 110
Lino Lakes, MN 55014-3020
(638) 786-4497