Kristen Lee Tadewald, RDH

NPI #1487847380 in Caledonia, Minnesota

Provider Information

NPI Number: 1487847380
Entity Type: Individual
Name: Kristen Lee Tadewald, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Aug 23, 2007
Last Updated: Aug 23, 2007

Practice Location

Address: 217 E GRANT ST
City: Caledonia
State: Minnesota
ZIP Code: 55921-1212
Phone: (507) 450-4297

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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