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Kaitlyn Jean Niemann, RDH, DT Valid NPI

Individual provider · Dental Therapist · Minneapolis, MN

NPI
1780436485
Type
Individual (Type 1)
Primary specialty
Dental Therapist
Specialty group
Dental Providers
Taxonomy code
125J00000X
License number
DT175 (MN)
Sex
Female
Sole proprietor
No
Enumerated
2024-04-04
Last updated
2024-10-15
Practice location
636 Broadway St Ne
Minneapolis, MN 55413-2164
(612) 746-1530

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Kaitlyn Jean Niemann, RDH, DT — NPI 1780436485