Kiersten Masello DDS Pllc

NPI #1518614205 in Crosslake, Minnesota

Provider Information

NPI Number
1518614205
Entity Type
Organization
Organization Name
Kiersten Masello DDS Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Mar 3, 2022
Last Updated
Mar 3, 2022

Practice Location

Address
13832 RIVERWOOD LN
ZIP Code
56442-2823
Phone
(218) 692-4849

Authorized Official

Name
KIERSTEN MICAEL BOEHM MASELLO, DDS
Title
DENTIST
Phone
(651) 587-6846

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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