Individual
DR. KEVAN TROY CAHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5237 DOUGLAS DR N, CRYSTAL, MN 55429-3103
(763) 536-1118
(763) 536-2244
Mailing address
5237 DOUGLAS DR N, CRYSTAL, MN 55429-3103
(763) 536-1118
(763) 536-2244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10170
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
710515100
—
MN
01
—
7D756
MPIN
MN
Enumeration date
12/06/2006
Last updated
12/11/2013
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