Individual
KASSENDRA STALSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2220 PLYMOUTH AVE N, MINNEAPOLIS, MN 55411-3600
(612) 543-2500
Mailing address
3730 VINCENT AVE N, MINNEAPOLIS, MN 55412-1815
(608) 451-2434
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14893
MN
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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