| Ks Holdings Pa | |
|
751 Rose Dr Nw Suite 108 Big Lake MN 55309-8705 | |
| (763) 262-0259 | |
| Not Available |
| Full Name | Ks Holdings Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 751 Rose Dr Nw, Big Lake, Minnesota |
| Authorized Official Name and Position | Kyle John Skjei (DENTIST) |
| Authorized Official Contact | 7632620259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ks Holdings Pa 751 Rose Dr Nw Suite 108 Big Lake MN 55309-8705 Ph: (763) 262-0259 | Ks Holdings Pa 751 Rose Dr Nw Suite 108 Big Lake MN 55309-8705 Ph: (763) 262-0259 |
| NPI Number | 1013328608 |
|---|---|
| Provider Enumeration Date | 05/16/2014 |
| Last Update Date | 05/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013328608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12781 (Minnesota) | Primary |
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