Individual
DR. KRAIG KOTTEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
2765 KELLEY PKWY, 140, ORONO, MN 55356-5800
(763) 420-6834
(763) 420-5642
Mailing address
13998 MAPLE KNOLL WAY, 102, MAPLE GROVE, MN 55369-7004
(763) 420-6824
(763) 420-5642
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D12473
MN
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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