Organization
KENWOOD DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE D KOLQUIST (OWNER)
(218) 728-4288
Entity
Organization
Contact information
Practice address
1630 KENWOOD AVE, DULUTH, MN 55811-2222
(218) 728-4288
Mailing address
1630 KENWOOD AVE, DULUTH, MN 55811-2222
(218) 728-4288
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12071
MN
Other
Enumeration date
08/29/2008
Last updated
01/02/2014
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