Individual
DR. KATHLEEN LOGAN RUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
50 W NICOLLET BLVD, BURNSVILLE, MN 55337-4524
(952) 892-6010
(952) 891-0203
Mailing address
5032 MORGAN AVE S, MINNEAPOLIS, MN 55419-1024
(612) 925-3559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10682
MN
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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