| K.o.a.l.a. Dental Care, Llc | |
|
1521 Northway Dr Suite 108 Saint Cloud MN 56303-4489 | |
| (320) 253-8380 | |
| (320) 253-8419 |
| Full Name | K.o.a.l.a. Dental Care, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1521 Northway Dr, Saint Cloud, Minnesota |
| Authorized Official Name and Position | John David Collier (OWNER) |
| Authorized Official Contact | 3202538380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K.o.a.l.a. Dental Care, Llc 20 1st Ave S Buffalo MN 55313-1409 Ph: (320) 253-8380 | K.o.a.l.a. Dental Care, Llc 1521 Northway Dr Suite 108 Saint Cloud MN 56303-4489 Ph: (320) 253-8380 |
| NPI Number | 1710317326 |
|---|---|
| Provider Enumeration Date | 11/18/2013 |
| Last Update Date | 11/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710317326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D11694 (Minnesota) | Primary |
Robert W. Koubsky, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 1st St N, Suite #102, Saint Cloud, MN 56303 Phone: 320-255-9048 Fax: 320-251-4745 | |
Kahn Dental North Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2860 W Division St Ste 102, Saint Cloud, MN 56301 Phone: 218-203-9872 | |
John D. Nydahl, Dds, P. A. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 2nd St N Ste 101, Saint Cloud, MN 56303 Phone: 320-253-0744 Fax: 320-253-9930 | |
Rupp And Grabowski Family Dentistry, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 916 W Saint Germain St, #114, Saint Cloud, MN 56301 Phone: 320-251-1912 Fax: 320-251-2331 | |
Central Minnesota Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Northway Dr, Saint Cloud, MN 56303 Phone: 320-529-4889 | |
Correctional Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3152 County Road 74, Saint Cloud, MN 56301 Phone: 320-774-3131 Fax: 320-217-2877 | |
Jason L. Friesz Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2506 1st St S, Saint Cloud, MN 56301 Phone: 320-253-1370 |