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NPI Code Detail

MEDICARE: DR. ANDREE-MAUDE DUBOIS LEBEL DMD

MEDICARE:  DR. ANDREE-MAUDE  DUBOIS LEBEL  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0221XPediatric DentistryD12885MN

General Provider Information

NPI Number : 1629277330
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREE-MAUDE DUBOIS LEBEL DMD
Provider Business Mailing Address
First Line : 1850 TERRACEVIEW LN N
Second Line : APT. A
City : PLYMOUTH
State : MN
Zip : 55447-6503
Country : US
Telephone Number : 651-600-8019
Fax Number :
Provider Business Practice Location Address
First Line : 5901 JOHN MARTIN DR
Second Line :
City : BROOKLYN CENTER
State : MN
Zip : 55430-2509
Country : US
Telephone Number : 763-585-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2007
Last Update Date : 09/13/2011

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Directions to “ DR. ANDREE-MAUDE DUBOIS LEBEL DMD” Practice Location

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