Individual
KIRK V. DENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3701 12TH ST N STE 202, SAINT CLOUD, MN 56303-2253
(320) 251-2700
Mailing address
656 158TH AVE NW, ANDOVER, MN 55304-2788
(817) 271-4713
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
PENDING
MN
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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