Individual
DR. KURT DAVID STODOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
304 ELM AVE., MOOSE LAKE, MN 55767
(218) 485-4455
Mailing address
25 MOLLY LN, ESKO, MN 55733-5510
(218) 879-9368
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11038
MN
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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