Individual
KAI ANTHONY AHLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12745 N 1ST AVE, LINDSTROM, MN 55045-9585
(651) 257-2720
Mailing address
15514 FLYBOAT LN, APPLE VALLEY, MN 55124-6021
(952) 220-1894
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14187
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2019
Last updated
05/17/2019
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