Individual
PETER KUEFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
290 EAGLE LAKE RD N, BIG LAKE, MN 55309-9243
(763) 263-3262
Mailing address
290 EAGLE LAKE RD N, BIG LAKE, MN 55309-9243
(763) 263-3262
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14432
MN
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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