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Individual

MS. DEBRA ANN KOLDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
1599 J ST BLDG 109, GRAND FORKS AFB, ND 58205-6306
(701) 747-5393
Mailing address
815 DUKE DR APT 236, GRAND FORKS, ND 58201-3987
(701) 330-1212

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7364
MN

Other

Enumeration date
02/07/2007
Last updated
07/08/2007
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