Organization
KOCHENDERFER FAMILY DENTISTRY, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L KOCHENDERFER D.D.S. (DENTIST/CO-OWNER)
(763) 545-1837
Entity
Organization
Contact information
Practice address
10906 S SHORE DR, PLYMOUTH, MN 55441-4919
(763) 545-1837
Mailing address
10906 S SHORE DR, PLYMOUTH, MN 55441-4919
(763) 545-1837
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D10802, D10868
MN
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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