Organization
KYLE R DANIELSON, DDS, PLLC
Active
Other names
Spring Park Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE DANIELSON DDS (OWNER)
(320) 282-5953
Entity
Organization
Contact information
Practice address
4165 SHORELINE DR STE 30, SPRING PARK, MN 55384-9653
(952) 471-0047
Mailing address
4165 SHORELINE DR STE 30, SPRING PARK, MN 55384-9653
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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