Individual
MERLIN N KLEINHUIZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
525 3RD ST SW, STE 1, WILLMAR, MN 56201-3385
(320) 235-3440
(320) 235-3602
Mailing address
525 3RD ST SW, STE 1, WILLMAR, MN 56201-3385
(320) 235-3440
(320) 235-3602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6982
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6982
LICENSE
MN
Enumeration date
12/14/2006
Last updated
07/08/2007
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