Individual
KEVIN VENTRUCCI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
7373 147TH ST W, STE 116, APPLE VALLEY, MN 55124-7690
(952) 432-8110
(952) 432-4457
Mailing address
7373 147TH ST W, STE 116, APPLE VALLEY, MN 55124-7690
(952) 432-8110
(952) 432-4457
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8835
MN
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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