Individual
JENNY KOHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1407 6TH ST S, STILLWATER, MN 55082-5707
(651) 428-4477
Mailing address
1407 6TH ST S, STILLWATER, MN 55082-5707
(651) 428-4477
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
A12760
MN
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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