Mary Elizabeth Imdieke is a prosthodontics dentist in Minneapolis, MN. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. Mary Elizabeth Imdieke NPI is 1023180023. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
515 DELAWARE ST SE
CLEFT PALATE CLINIC - 6TH FLOOR MOOS TOWER
MINNEAPOLIS, MN
ZIP 55455-357
Phone: (612) 625-2495
The NPI 1023180023 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 11/14/2006 and was last updated on 8/14/2007.