Individual
MRS. KIM M WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2385 TROOP DRIVE SUITE #201, SARTELL, MN 56377
(320) 251-2972
(320) 255-5514
Mailing address
2385 TROOP DRIVE SUITE #201, SARTELL, MN 56377
(320) 251-2972
(320) 255-5514
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11308
MN
122400000X
Denturist
D11308
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121220600
—
MN
Enumeration date
11/20/2006
Last updated
09/17/2008
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