Individual
DR. KIMBERLY ELLEN ROSTVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4419 AIR BASE RD, HERMANTOWN, MN 55811-1847
(218) 728-2117
Mailing address
3528 HOLMES AVE S, MINNEAPOLIS, MN 55408-3835
(218) 256-8625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D14233
MN
122300000X
Dentist
DS041402
PA
1223P0221X
Pediatric Dentistry
Primary
D14233
MN
Other
Enumeration date
07/09/2017
Last updated
06/16/2025
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