Burth, Jodi Marie
Burth, Jodi Marie is an sole proprietor health care provider with primary practice located at 11256 86Th Ave N , Maple Grove MN 55369. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Burth, Jodi Marie can be contacted via phone (763) 493-9446.Contact Information
Primary practice address
11256 86Th Ave N
Maple Grove MN 55369
Phone: (763) 493-9446
Fax: (763) 493-3045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D112384 | Minnesota |
Profile Details
| NPI number | 1699977058 |
|---|---|
| LBN Legal business name | Burth, Jodi Marie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2007 |
| Last updated | Aug 7th, 2007 - about 17 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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