Edstrom, Lisa Ann

Edstrom, Lisa Ann is an individual health care provider with primary practice located at 3436 Denmark Ave , Eagan MN 55123-1088. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Edstrom, Lisa Ann can be contacted via phone (651) 452-4455.

Contact Information

Primary practice address
3436 Denmark Ave Eagan MN 55123-1088
Phone: (651) 452-4455
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D12681 Minnesota

Profile Details

NPI number 1922235027
LBN Legal business name Edstrom, Lisa Ann
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2009
Last updated Sep 30th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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