Individual
DR. KRISTINE CAROL ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
15785 95TH AVE N, MAPLE GROVE, MN 55369-4404
(763) 420-5484
(763) 420-5875
Mailing address
10015 PLEASURE CREEK CIR NE, BLAINE, MN 55434-4233
(763) 784-0635
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11551
MN
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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