Individual
DR. REILLY LYNN KROISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5205 SHORELINE DR, MOUND, MN 55364-1770
(952) 472-7717
Mailing address
5605 ZUMBRA DR, EXCELSIOR, MN 55331-7760
(952) 693-3233
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14885
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D14885
MINNESOTA BOARD OF DENTISTRY
MN
Enumeration date
05/31/2023
Last updated
05/31/2023
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