Individual
KASSIE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.T.
Contact information
Practice address
2251 CONNECTICUT AVE S, SARTELL, MN 56377-2486
(320) 253-5824
Mailing address
968 WOODHILL DRIVE, ROSEVILLE, MN 55113
(218) 368-6546
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT61
MN
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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