Provider Demographics
NPI:1730105180
Name:SABINO, MARYANN C (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARYANN
Middle Name:C
Last Name:SABINO
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Gender:F
Credentials:DDS
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Mailing Address - Street 1:2854 HIGHWAY 55
Mailing Address - Street 2:SUITE 130
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-2156
Mailing Address - Country:US
Mailing Address - Phone:651-224-4930
Mailing Address - Fax:651-842-3391
Practice Address - Street 1:515 DELAWARE ST SE
Practice Address - Street 2:7-174 MOOS TOWER
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0357
Practice Address - Country:US
Practice Address - Phone:612-624-4435
Practice Address - Fax:612-624-2669
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MND114031223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery