| Kochenderfer Family Dentistry, Plc | |
|
10906 S Shore Dr Plymouth MN 55441-4919 | |
| (763) 545-1837 | |
| Not Available |
| Full Name | Kochenderfer Family Dentistry, Plc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10906 S Shore Dr, Plymouth, Minnesota |
| Authorized Official Name and Position | Robert L Kochenderfer (DENTIST/CO-OWNER) |
| Authorized Official Contact | 7635451837 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kochenderfer Family Dentistry, Plc 10906 S Shore Dr Plymouth MN 55441-4919 Ph: (763) 545-1837 | Kochenderfer Family Dentistry, Plc 10906 S Shore Dr Plymouth MN 55441-4919 Ph: (763) 545-1837 |
| NPI Number | 1982032157 |
|---|---|
| Provider Enumeration Date | 10/24/2013 |
| Last Update Date | 10/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982032157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D10802, D10868 (Minnesota) | Primary |
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