| Monica Kennard,d.d.s.,p.a. | |
|
250 Central Ave N Suite 211 Wayzata MN 55391-1208 | |
| (952) 475-3135 | |
| (952) 475-1936 |
| Full Name | Monica Kennard,d.d.s.,p.a. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 250 Central Ave N, Wayzata, Minnesota |
| Authorized Official Name and Position | Monica A Kennard (PEDIATRIC DENTIST) |
| Authorized Official Contact | 9524753135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monica Kennard,d.d.s.,p.a. 250 Central Ave N Suite 211 Wayzata MN 55391-1208 Ph: (952) 475-3135 | Monica Kennard,d.d.s.,p.a. 250 Central Ave N Suite 211 Wayzata MN 55391-1208 Ph: (952) 475-3135 |
| NPI Number | 1083814206 |
|---|---|
| Provider Enumeration Date | 07/25/2007 |
| Last Update Date | 07/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083814206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 10780 (Minnesota) | Primary |
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