KAITLYN NIEMANN, RDH, DT

Dental Therapist

Active Individual
NPI: 1780436485

Practice Address

636 BROADWAY ST NE
Minneapolis, MN 55413

Phone: (612) 746-1530

Specialties

Specialty Code Primary License
Dental Therapist 125J00000X Yes DT175 (MN)
Dental Hygienist 124Q00000X No 11634 (MN)

Frequently Asked Questions

NPI 1780436485 is the National Provider Identifier for KAITLYN NIEMANN, RDH, DT, a Dental Therapist provider located in Minneapolis, MN. This NPI was enumerated on April 4, 2024.
KAITLYN NIEMANN, RDH, DT practices at 636 BROADWAY ST NE, Minneapolis, MN 55413.

Quick Facts

NPI
1780436485
Type
Individual
Enumerated
Apr 4, 2024
Last Updated
Oct 15, 2024

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