Individual
DR. KISHORE VEL DAMODARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
615 16TH ST SW, ROCHESTER, MN 55902-2103
(507) 288-2539
Mailing address
225 BOARD CIR, MAHTOMEDI, MN 55115-1981
(651) 249-7305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14618
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2021
Last updated
05/20/2025
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