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Organization
KS HOLDINGS PA
Active
Organization
KS HOLDINGS PA
Active
Other names
Lake Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE JOHN SKJEI D.D.S. (DENTIST)
(763) 262-0259
Entity
Organization
Contact information
Practice address
751 ROSE DR NW, SUITE 108, BIG LAKE, MN 55309-8705
(763) 262-0259
Mailing address
751 ROSE DR NW, SUITE 108, BIG LAKE, MN 55309-8705
(763) 262-0259
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12781
MN
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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