DR. Lisa Ann Edstrom, DDS

NPI #1922235027 in Eagan, Minnesota

Provider Information

NPI Number: 1922235027
Entity Type: Individual
Name: DR. Lisa Ann Edstrom, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 16, 2009
Last Updated: Sep 30, 2020

Practice Location

Address: 3436 DENMARK AVE
City: Eagan
State: Minnesota
ZIP Code: 55123-1088
Phone: (651) 452-4455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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