DR. Kevin Daniel Molldrem, DDS

NPI #1740404797 in Eden Prairie, Minnesota

Provider Information

NPI Number: 1740404797
Entity Type: Individual
Name: DR. Kevin Daniel Molldrem, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Apr 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 800 PRAIRIE CENTER DR
Address 2: SUITE 250
City: Eden Prairie
State: Minnesota
ZIP Code: 55344-7328
Phone: (952) 974-5116

Specialties & Taxonomy Codes

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

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