Individual
KENNETH JOHN SIEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
210 W CENTRAL ENTRANCE, DULUTH, MN 55811
(218) 722-3346
Mailing address
210 W CENTRAL ENTRANCE, DULUTH, MN 55811
(218) 722-3346
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8935MN
MN
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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