Individual
DR. NANCY LEE KOCHENDERFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
10906 S SHORE DR, PLYMOUTH, MN 55441-4919
(763) 545-1837
Mailing address
HHC 22ND SIG BDE, CMR 431 BOX 519, APO, AE 09175
61519518369
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10868
MN
Other
Enumeration date
05/21/2007
Last updated
04/20/2008
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