Individual
KEVIN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-2112
Mailing address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-2112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12961
MN
Other
Enumeration date
08/03/2011
Last updated
09/02/2025
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