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Individual

DR. FRED P KALINOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1405 ANNE ST NW, C/O NORTHERN DENTAL ACCESS CENTER, BEMIDJI, MN 56601-5113
(218) 444-9646
(218) 444-9252
Mailing address
1405 ANNE ST NW, C/O NORTHERN DENTAL ACCESS CENTER, BEMIDJI, MN 56601-5113
(218) 444-9646
(218) 444-9252

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7211
MN

Other

Enumeration date
04/20/2009
Last updated
04/20/2009
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