Organization
DR. KYNAN WESTERMEYER, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYNAN WESTERMEYER DDS (CHIEF MANAGER)
(763) 389-3320
Entity
Organization
Contact information
Practice address
404 1ST ST. N, PRINCETON, MN 55371
(763) 389-3320
(763) 631-0662
Mailing address
404 1ST ST, PRINCETON, MN 55371-1602
(763) 389-3320
(763) 631-0662
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
11514
MN
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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