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Nicolette Gengel
NPI 1962939546 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1384 109th Ave Ne Ste 200
Blaine, MN 55434 - Phone
- (763) 757-6000
- Organisation at this address
- Blaine Dentistry, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Additional practice sites
- 112 Lake Dr S, New Fairfield, CT
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-07-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota