Individual
DR. KIRK ROLAND BAUMGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, PHD
Contact information
Practice address
1835 COUNTY ROAD C W, ROSEVILLE, MN 55113-1352
(651) 746-0587
(651) 636-1118
Mailing address
716 HENSLOW AVE N, OAKDALE, MN 55128-5369
(651) 702-1283
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D11484
MN
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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