Individual
DR. KYNAN RICHARD WESTERMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
404 1ST ST, PRINCETON, MN 55371-1602
(763) 389-3320
Mailing address
13808 213TH AVE NW, ELK RIVER, MN 55330-4680
(763) 241-0455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11514
MN
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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