Individual
DR. KAYLA BLANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12736 BASS LAKE RD, MAPLE GROVE, MN 55369-6307
(763) 559-2082
Mailing address
1538 E 54TH ST, MINNEAPOLIS, MN 55417-1818
(952) 446-5589
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14881
MN
Other
Enumeration date
07/10/2023
Last updated
01/30/2024
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