Individual
KRISTIN MARIE RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5000 W 36TH ST STE 250, ST LOUIS PARK, MN 55416-2776
(612) 467-6555
Mailing address
5000 W 36TH ST STE 250, ST LOUIS PARK, MN 55416-2776
(952) 920-3700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN21507
FL
122300000X
Dentist
R615
MN
1223G0001X
General Practice Dentistry
Primary
D13645
MN
Other
Enumeration date
11/23/2015
Last updated
10/03/2019
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