| Roy Krengel Ii Pa | |
|
5020 Minnetonka Blvd St Louis Park MN 55416-2255 | |
| (952) 926-2705 | |
| Not Available |
| Full Name | Roy Krengel Ii Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5020 Minnetonka Blvd, St Louis Park, Minnesota |
| Authorized Official Name and Position | Roy Krengel (OWNER DENTIST) |
| Authorized Official Contact | 9529262705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roy Krengel Ii Pa 5020 Minnetonka Blvd St Louis Park MN 55416-2255 Ph: (952) 926-2705 | Roy Krengel Ii Pa 5020 Minnetonka Blvd St Louis Park MN 55416-2255 Ph: (952) 926-2705 |
| NPI Number | 1225769102 |
|---|---|
| Provider Enumeration Date | 06/21/2022 |
| Last Update Date | 06/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225769102 | NPI | - | NPPES |
| 5020 | Other | UNKNOWN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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