Individual
KRISTA JEAN KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6411 RICHFIELD PKWY, RICHFIELD, MN 55423-6400
(612) 869-3440
Mailing address
1016 WASHINGTON AVE SE APT 911, MINNEAPOLIS, MN 55414-4111
(715) 207-2692
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14180
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D14180
MN BOARD OF DENTISTRY
MN
Enumeration date
05/17/2019
Last updated
05/17/2019
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