Individual
KRIS CLIFTON BOMSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
911 1ST ST N, HOPKINS, MN 55343
(952) 938-7746
(952) 938-1511
Mailing address
911 1ST ST N, HOPKINS, MN 55343
(952) 938-7746
(952) 938-1511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11424
MN
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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