Individual
DR. KYLE NORDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15160 FOLIAGE AVE STE 110, APPLE VALLEY, MN 55124-5916
(952) 715-6177
Mailing address
3570 BIRCHPOND RD, EAGAN, MN 55122-4900
(952) 250-0310
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D13494
MN
Other
Enumeration date
06/23/2010
Last updated
06/30/2020
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