Kyle R Danielson, Dds, Pllc | |
4165 Shoreline Dr Ste 30 Spring Park MN 55384-9653 | |
(952) 471-0047 | |
Not Available |
Full Name | Kyle R Danielson, Dds, Pllc |
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Speciality | Clinic/center - Dental |
Location | 4165 Shoreline Dr Ste 30, Spring Park, Minnesota |
Authorized Official Name and Position | Kyle Danielson (OWNER) |
Authorized Official Contact | 3202825953 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kyle R Danielson, Dds, Pllc 4165 Shoreline Dr Ste 30 Spring Park MN 55384-9653 Ph: () - | Kyle R Danielson, Dds, Pllc 4165 Shoreline Dr Ste 30 Spring Park MN 55384-9653 Ph: (952) 471-0047 |
NPI Number | 1750930525 |
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Provider Enumeration Date | 09/05/2019 |
Last Update Date | 09/05/2019 |
Identifier | Type | State | Issuer |
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1750930525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Family & Cosmetic Gentle Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4787 Shoreline Dr, Spring Park, MN 55384 Phone: 952-471-0900 Fax: 952-471-1046 |