Individual
KRISTAL SUE WILMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
197 N TYLER ST, TYLER, MN 56178-1160
(507) 380-0127
Mailing address
197 N TYLER ST, TYLER, MN 56178-1160
(507) 380-0127
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13982
MN
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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