Kyle R Danielson, Dds, Pllc
NPI #1750930525 in Spring Park, Minnesota
Provider Information
- NPI Number
- 1750930525
- Entity Type
- Organization
- Organization Name
- Kyle R Danielson, Dds, Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 5, 2019
- Last Updated
- Sep 5, 2019
Practice Location
- Address
- 4165 SHORELINE DR STE 30
- City
- Spring Park
- State
- Minnesota
- ZIP Code
- 55384-9653
- Phone
- (952) 471-0047
Authorized Official
- Name
- KYLE DANIELSON, DDS
- Title
- OWNER
- Phone
- (320) 282-5953
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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