Individual
DR. KYLE DAVID KOLQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1630 KENWOOD AVE, KENWOOD DENTAL, DULUTH, MN 55811
(218) 728-4288
(218) 724-8624
Mailing address
1630 KENWOOD AVE, KENWOOD DENTAL, DULUTH, MN 55811
(218) 728-4288
(218) 724-8624
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12071
MN
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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