Individual
NATHAN DANIEL KJOLHAUG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1630 UNIVERSITY AVE, ST PAUL, MN 55104
(651) 645-4671
(651) 646-1342
Mailing address
PO BOX 23029, RICHFIELD, MN 55423
(612) 861-9123
(612) 861-9155
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11696
MN
Other
Enumeration date
04/24/2006
Last updated
07/08/2007
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