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Individual

DR. KIM M LEDERMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
2550 UNIVERSITY AVE W, SUITE143N, SAINT PAUL, MN 55114-1052
(651) 642-1013
(651) 642-0947
Mailing address
5030 EMERSON AVE S, MINNEAPOLIS, MN 55419-1154
(612) 823-1824
(651) 642-0947

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11715
MN

Other

Enumeration date
12/26/2006
Last updated
11/13/2014
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