| Rosemary Lelich Pa | |
|
5804 Excelsior Blvd St Louis Park MN 55416-2830 | |
| (952) 922-7117 | |
| Not Available |
| Full Name | Rosemary Lelich Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5804 Excelsior Blvd, St Louis Park, Minnesota |
| Authorized Official Name and Position | Rosemary Lelich (ORTHODONTIST) |
| Authorized Official Contact | 6123092322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosemary Lelich Pa 5804 Excelsior Blvd St Louis Park MN 55416-2830 Ph: () - | Rosemary Lelich Pa 5804 Excelsior Blvd St Louis Park MN 55416-2830 Ph: (952) 922-7117 |
| NPI Number | 1356967061 |
|---|---|
| Provider Enumeration Date | 06/18/2020 |
| Last Update Date | 06/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356967061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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