Individual
MRS. JULIE MARIE KLEMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
2001 BLOOMINGTON AVE, MINNEAPOLIS, MN 55404-3074
(612) 301-3433
Mailing address
15608 WILLOWOOD DR, MINNETONKA, MN 55345-5532
(608) 769-2671
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT10P
MN
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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