Individual
DR. KYLE KNUDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
140 TWIN RIVERS CT, SARTELL, MN 56377-2015
(320) 255-1111
Mailing address
140 TWIN RIVERS CT, SARTELL, MN 56377-2015
(320) 255-1111
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D13258
MN
Other
Enumeration date
07/26/2013
Last updated
08/17/2015
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