Individual
DR. MARK R. KAUPPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6437 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-2174
(763) 535-6010
Mailing address
14605 GLAZIER AVE, APPLE VALLEY, MN 55124-7545
(952) 432-1103
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11466
MN
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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