Organization
MONICA KENNARD,D.D.S.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONICA A KENNARD D.D.S. (PEDIATRIC DENTIST)
(952) 475-3135
Entity
Organization
Contact information
Practice address
250 CENTRAL AVE N, SUITE 211, WAYZATA, MN 55391-1208
(952) 475-3135
(952) 475-1936
Mailing address
250 CENTRAL AVE N, SUITE 211, WAYZATA, MN 55391-1208
(952) 475-3135
(952) 475-1936
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10780
MN
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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