Individual
STELLA M. KITZENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3939 W 50TH ST STE 201, EDINA, MN 55424-1258
(952) 922-4118
Mailing address
3939 W 50TH ST STE 201, EDINA, MN 55424-1258
(952) 922-4118
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
9694
MN
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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