Individual
KEITH S SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10700 NORMANDALE BLVD, BLOOMINGTON, MN 55437-2700
(952) 888-9661
Mailing address
10700 NORMANDALE BLVD, BLOOMINGTON, MN 55437-2700
(952) 888-9661
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7253
MN
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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