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Individual

DR. MEREDITH KATHYRN KURYSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
828 HAWTHORNE AVE E, SAINT PAUL, MN 55106-3252
(651) 774-2959
Mailing address
20430 EVERTON TRL N, FOREST LAKE, MN 55025-8161
(651) 210-0198

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12116
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
963761
AZ
Enumeration date
08/18/2006
Last updated
11/14/2010
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