Individual
KIANA MARIE CULLINAN HIEMSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
820 2ND AVE N, WINDOM, MN 56101-1761
(507) 831-3717
Mailing address
3617 JACKSON AVE, SPIRIT LAKE, IA 51360-4800
(641) 529-2660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-14718
MN
Other
Enumeration date
07/08/2021
Last updated
11/16/2023
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