| Kenwood Dental Inc | |
|
1630 Kenwood Ave Duluth MN 55811-2222 | |
| (218) 728-4288 | |
| Not Available |
| Full Name | Kenwood Dental Inc |
|---|---|
| Speciality | Dentist |
| Location | 1630 Kenwood Ave, Duluth, Minnesota |
| Authorized Official Name and Position | Kyle D Kolquist (OWNER) |
| Authorized Official Contact | 2187284288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenwood Dental Inc 1630 Kenwood Ave Duluth MN 55811-2222 Ph: (218) 728-4288 | Kenwood Dental Inc 1630 Kenwood Ave Duluth MN 55811-2222 Ph: (218) 728-4288 |
| NPI Number | 1447408679 |
|---|---|
| Provider Enumeration Date | 08/29/2008 |
| Last Update Date | 01/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447408679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D12071 (Minnesota) | Primary |
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