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Individual

KRISTA L. KUKARANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
20 5TH ST SE, COOK, MN 55723-9702
(218) 666-5941
(218) 666-5099
Mailing address
20 5TH ST SE, COOK, MN 55723-9702
(218) 666-5941
(218) 666-5099

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14505
MN
1223G0001X
General Practice Dentistry
6157
WI

Other

Enumeration date
08/06/2007
Last updated
01/25/2021
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