Individual
KALLI ANN LORENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
727 BUCKSKIN AVE W, PILLAGER, MN 56473-2509
(218) 746-4555
Mailing address
727 BUCKSKIN AVE W, PILLAGER, MN 56473-2509
(218) 746-4555
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7192
MN
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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