IndividualActive
Ella Raich
NPI 1407363708 · Dental Hygienist · Minneapolis, MN
Provider details
- NPI number
- 1407363708
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- H9195 (MN)
Specialties & taxonomies
Dental Providers
Practice location
636 Broadway St Ne
Minneapolis, MN 55413-2164
Phone: (612) 746-1530
Fax: (612) 746-1531
Approximate (ZIP-level) locationGet directions
Mailing address
636 Broadway St Ne
Minneapolis, MN 55413-2164
Registry dates
- Enumerated
- 2018-01-08
- Last updated
- 2018-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.