Individual
MS. KRISTINE BOLSTER KORNGABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
903 W CENTER ST, UNITED WAY BUILDING SUITE 130, ROCHESTER, MN 55902-6278
(507) 529-0435
Mailing address
903 W CENTER ST, UNITED WAY BUILDING SUITE 130, ROCHESTER, MN 55902-6278
(507) 529-0435
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H04702
MN
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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