MRS. Leann Caroll Bain, RDA

NPI #1407048853 in Woodbury, Minnesota

Provider Information

NPI Number
1407048853
Entity Type
Individual
Name
MRS. Leann Caroll Bain, RDA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dental Assistant
Credential
RDA
Enumeration Date
Aug 9, 2007
Last Updated
Aug 9, 2007

Practice Location

Address
1789 WOODLANE DR
Address 2
SUITE D
ZIP Code
55125-3910
Phone
(651) 738-1284

Specialties & Taxonomy Codes

Specialty
Dental Assistant

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