April Lee Koller CRDA

NPI 1760666176 - Dental Assistant - 126800000X

NPI Details
NPI 1760666176
Gender Female
Enumeration Date 12/20/2007
Last Updated 12/20/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
1789 WOODLANE DR
SUITE D
WOODBURY MN, 55125-3910, US
Phone (651) 738-1284
Fax
Business Location
1789 WOODLANE DR
SUITE D
WOODBURY MN, 55125-3910, US
Phone (651) 738-1284
Fax
Toxanomy
Taxonomy Code 126800000X
License State Minnesota
License Number A8688
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According to our database, Miss April Lee Koller CRDA NPI is 1760666176, taxonomy code is 126800000X and license number is A8688, license state is located at Minnesota. April Lee Koller CRDA physically located at 1789 Woodlane Dr, Woodbury MN, 55125-3910. NPI Number April Lee Koller CRDA has the Individual type.

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1760666176 NPI number is provided on an as is basis without warranty of any kind. 1760666176 is maintained by the National Plan & Provider Enumeration System. The contents of April Lee Koller CRDA are for informational purposes only.