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Organization
ROY KRENGEL II PA
Active
Organization
ROY KRENGEL II PA
Active
Other names
Krengel Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ROY KRENGEL DDS (OWNER DENTIST)
(952) 926-2705
Entity
Organization
Contact information
Practice address
5020 MINNETONKA BLVD, ST LOUIS PARK, MN 55416-2255
(952) 926-2705
Mailing address
5020 MINNETONKA BLVD, ST LOUIS PARK, MN 55416-2255
(952) 926-2705
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5020
UNKNOWN
—
Enumeration date
06/21/2022
Last updated
06/21/2022
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