Most Relevant Information
Provider Data
| NPI Number: | 1003370305 |
| Provider Name: | JACQUELINE SUMZIN DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/31/2019 |
| Last Updated: | 08/07/2024 |
Provider Practice Location
601 APOLLO DR STE 110
LINO LAKES
MN
550143020
Practice Location Phone/Fax
| Phone: | 6387864497 |
| Fax: |
Provider Mailing Location
1125 S 2ND ST APT 1108
MINNEAPOLIS
MN
554152146
Provider Mailing Phone/Fax
| Phone: | 9173622232 |
| Fax: |