Organization
COSMETIC & FAMILY DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN WILLIAM DENS DDS (OWNER)
(218) 454-7000
Entity
Organization
Contact information
Practice address
6980 FAIRVIEW RD, BAXTER, MN 56425-7836
(218) 454-7000
(218) 829-3347
Mailing address
6980 FAIRVIEW RD, BAXTER, MN 56425-7836
(218) 454-7000
(218) 829-3347
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9813
MN
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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