Individual
DR. KRISTINA LYNNE THELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
600 N MAIN ST STE 100, ROCHESTER, MI 48307-1491
(248) 652-1010
Mailing address
11 S MILL ST STE 200, NEW CASTLE, PA 16101-3680
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
21960
MI
1223G0001X
General Practice Dentistry
Primary
2901021960
MI
Other
Enumeration date
07/20/2016
Last updated
10/13/2017
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