Organization
ROY KRENGEL II PA
Active
Other names
Krengel Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ROY KRENGEL DDS (OWNER DENTIST)
(952) 926-2705
Entity
Organization
Contact information
Practice address
5020 MINNETONKA BLVD, ST LOUIS PARK, MN 55416-2255
(952) 926-2705
Mailing address
5020 MINNETONKA BLVD, ST LOUIS PARK, MN 55416-2255
(952) 926-2705
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5020
UNKNOWN
—
Enumeration date
06/21/2022
Last updated
06/21/2022
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