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Individual

DR. PATRICIA KINGSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D,D,S,, M.S.

Contact information

Practice address
1926 PINE CIR, FERGUS FALLS, MN 56537-3938
(612) 747-7337
(218) 736-7204
Mailing address
1926 PINE CIR, FERGUS FALLS, MN 56537-3938
(612) 747-7337
(218) 736-7204

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D8605
MN

Other

Enumeration date
09/21/2006
Last updated
07/08/2007
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