| Koala Dental Care, Llc | |
|
3950 Veterans Drive Suite 102 Saint Cloud MN 56303 | |
| (320) 253-8380 | |
| (320) 253-8419 |
| Full Name | Koala Dental Care, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3950 Veterans Drive, Saint Cloud, Minnesota |
| Authorized Official Name and Position | John Daivd Collier (DENTIST/OWNER) |
| Authorized Official Contact | 3202538380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koala Dental Care, Llc 3950 Veterans Drive Suite 102 Saint Cloud MN 56303 Ph: (320) 253-8380 | Koala Dental Care, Llc 3950 Veterans Drive Suite 102 Saint Cloud MN 56303 Ph: (320) 253-8380 |
| NPI Number | 1730360355 |
|---|---|
| Provider Enumeration Date | 11/26/2007 |
| Last Update Date | 12/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730360355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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