Individual
DR. CRESCENTHIA ANN WILKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
700 40TH AVE NE, COLUMBIA HEIGHTS, MN 55421
(763) 788-1625
Mailing address
700 40TH AVE NE, COLUMBIA HEIGHTS, MN 55421
(763) 788-1625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8733
MN
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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