Individual
KRISTINA LECOUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
106 6TH ST W, HASTINGS, MN 55033-1801
(651) 437-9812
Mailing address
106 6TH ST W, HASTINGS, MN 55033-1801
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901021833
MI
122300000X
Dentist
Primary
D13784
MN
Other
Enumeration date
05/19/2016
Last updated
04/19/2017
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