Provider First Line Business Practice Location Address:
1630 KENWOOD AVE
Provider Second Line Business Practice Location Address:
KENWOOD DENTAL
Provider Business Practice Location Address City Name:
DULUTH
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55811
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-728-4288
Provider Business Practice Location Address Fax Number:
218-724-8624
Provider Enumeration Date:
01/29/2007