Individual
KYLE ANN LOHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4155 DEAN LAKES BLVD, SHAKOPEE, MN 55379-2851
(952) 303-8320
Mailing address
2200 COUNTY ROAD C W STE 2210, ROSEVILLE, MN 55113-2551
(651) 746-2815
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D14448
MS
1223G0001X
General Practice Dentistry
Primary
D14448
MN
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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