Individual
ROBERT THEODORE KLABUNDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8454 HIGHWAY 7, ST LOUIS PARK, MN 55426-3900
(952) 933-3667
Mailing address
104 PEACEFUL PL, MANKATO, MN 56001-7414
(507) 227-6919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14722
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D14722
DENTAL LICENSE NUMBER
MN
Enumeration date
06/03/2022
Last updated
06/07/2022
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