Amy Jean Kebriaei, D.D.S. Valid NPI

Individual provider · Pediatric Dentistry · Lakeville, MN

NPI

1104024264

Type

Individual (Type 1)

Primary specialty

Pediatric Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223P0221X

License number

D12729 (MN)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-07-10

Last updated

2009-07-08