| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/05/2019 |
| Last Update Date | 09/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 |