Individual
DR. CLINT MATTHEW KROEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1545 LIVINGSTON AVE STE 101, WEST ST PAUL, MN 55118-3422
(651) 455-0505
Mailing address
1545 LIVINGSTON AVE STE 101, WEST ST PAUL, MN 55118-3422
(651) 455-0505
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D14069
MN
1223G0001X
General Practice Dentistry
Primary
D14069
MN
Other
Enumeration date
06/20/2018
Last updated
05/02/2022
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