Individual
LINDSEY MAYLO KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
18230 ZANE ST NW, ELK RIVER, MN 55330-4501
(763) 201-1313
Mailing address
10701 XAVIS ST NW, COON RAPIDS, MN 55433-4035
(763) 267-8257
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D15288
MN
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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