Organization
HILLCREST DENTAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAI AHLMAN DDS (GENERAL DENTIST/OWNER)
(952) 220-1894
Entity
Organization
Contact information
Practice address
1762 IOWA AVE E, SAINT PAUL, MN 55106-1342
(651) 771-6464
Mailing address
2212 FAIRMEADOWS RD, STILLWATER, MN 55082-5321
(952) 220-1894
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245793678
—
MN
Enumeration date
07/25/2022
Last updated
07/25/2022
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