Individual
DR. KIRSTEN JEAN DUSSAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13911 RIDGEDALE DR, SUITE 395, MINNETONKA, MN 55305-1771
(952) 545-8603
(952) 545-4371
Mailing address
1349 ROMEO CT, CHASKA, MN 55318-4523
(612) 386-6481
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12098
MN
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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