Individual
KATHY ANN ARNOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
8775 COLUMBINE RD, EDEN PRAIRIE, MN 55344-6695
(952) 942-0823
(952) 942-0823
Mailing address
8775 COLUMBINE RD, EDEN PRAIRIE, MN 55344-6695
(952) 942-0823
(952) 942-0823
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9696
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9696
STATE LICENSE #
MN
Enumeration date
11/28/2006
Last updated
07/08/2007
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