| Jeanne M Gau | |
|
20174 Heritage Drive Lakeville Lakeville MN 55044 | |
| (952) 469-6760 | |
| (952) 469-3254 |
| Full Name | Jeanne M Gau |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 20174 Heritage Drive, Lakeville, Minnesota |
| Authorized Official Name and Position | Jeanne Marcia Gau (ORTHODONTIST) |
| Authorized Official Contact | 9524696760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanne M Gau 20174 Heritage Drive Lakeville Lakeville MN 55044 Ph: (952) 469-6760 | Jeanne M Gau 20174 Heritage Drive Lakeville Lakeville MN 55044 Ph: (952) 469-6760 |
| NPI Number | 1538219746 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538219746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | MN9323 (Minnesota) | Primary |
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