DR. Krista Monique Thelen, DDS

NPI #1699834150 in Champlin, Minnesota

Provider Information

NPI Number: 1699834150
Entity Type: Individual
Name: DR. Krista Monique Thelen, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Dec 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 11269 JEFFERSON HWY N
City: Champlin
State: Minnesota
ZIP Code: 55316-3123
Phone: (763) 421-5206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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