Individual
DR. KELLIE ELENA ROSEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
306 BRIGHTON AVE S, BUFFALO, MN 55313
(763) 682-2572
(763) 533-2034
Mailing address
306 BRIGHTON AVE S, BUFFALO, MN 55313
(763) 682-2572
(763) 533-2034
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12121
MN
Other
Enumeration date
11/03/2006
Last updated
06/18/2019
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