Individual
KRISTINE H LLENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1790 SEVENTH ST EAST, ST PAUL, MN 55102
(651) 735-0595
Mailing address
1790 SEVENTH STREET EAST, ST PAUL, MN 55102
(651) 735-0595
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12370
MN
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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