| Kiersten Masello Dds Pllc | |
|
13832 Riverwood Ln Crosslake MN 56442-2823 | |
| (218) 692-4849 | |
| Not Available |
| Full Name | Kiersten Masello Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13832 Riverwood Ln, Crosslake, Minnesota |
| Authorized Official Name and Position | Kiersten Micael Boehm Masello (DENTIST) |
| Authorized Official Contact | 6515876846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiersten Masello Dds Pllc 20438 Whitetail Dr Brainerd MN 56401-5382 Ph: (651) 587-6846 | Kiersten Masello Dds Pllc 13832 Riverwood Ln Crosslake MN 56442-2823 Ph: (218) 692-4849 |
| NPI Number | 1518614205 |
|---|---|
| Provider Enumeration Date | 03/03/2022 |
| Last Update Date | 03/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518614205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |