Individual
DR. KARL SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
516 DELAWARE ST SE, 7TH FLOOR PWB, MINNEAPOLIS, MN 55455-0356
(612) 626-3233
Mailing address
516 DELAWARE ST SE, FACULTY PRACTICE CLINIC, MINNEAPOLIS, MN 55455-0356
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9897
MN
Other
Enumeration date
05/08/2007
Last updated
08/15/2007
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