Nicolette Gengel

NPI #1962939546 in Blaine, Minnesota

Provider Information

NPI Number
1962939546
Entity Type
Individual
Name
Nicolette Gengel
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Enumeration Date
May 15, 2017
Last Updated
Jul 16, 2018

Practice Location

Address
1384 109TH AVE NE STE 200
City
Blaine
ZIP Code
55434
Phone
(763) 757-6000

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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