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Organization

KAHN DENTAL PLLC

Active
Other names
Aspen Dental
Organization subpart
No

Provider details

NPI number
Authorized official
ELI DAVID KAHN DMD (OWNER)
(320) 200-9011
Entity
Organization

Contact information

Practice address
2860 W DIVISION ST, STE 102, SAINT CLOUD, MN 56301-7329
(320) 200-9011
(320) 774-2116
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
(315) 410-5531

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13500
MN

Other

Enumeration date
03/30/2016
Last updated
03/30/2016
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