Individual
KELLE LOUISE KASTELIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
BRAHAM FAMILY DENTAL, 302 MAIN ST N, BRAHAM, MN 55006
(320) 396-4417
Mailing address
2100 4TH LN SE APT 307, CAMBRIDGE, MN 55008-4439
(615) 300-1490
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00205742
CO
1223G0001X
General Practice Dentistry
6001706-15
WI
1223G0001X
General Practice Dentistry
D14711
MN
Other
Enumeration date
06/24/2021
Last updated
01/10/2025
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