Most Relevant Information
Provider Data
NPI Number: | 1003429465 |
Provider Name: | PETER MAROT KLINKENBERG DDS |
Entity Type: | Individual |
Taxonomy Code: | 1223G0001X |
Specialty: | Dentist |
License Number: | D11461 |
Most Important Dates
Enumeration Date: | 08/26/2020 |
Last Updated: | 08/26/2020 |
Provider Practice Location
1464 WHITE OAK DR
CHASKA
MN
553182525
Practice Location Phone/Fax
Phone: | 9523518282 |
Fax: |
Provider Mailing Location
4900 OLD CEDAR LAKE RD
ST LOUIS PARK
MN
554161647
Provider Mailing Phone/Fax
Phone: | 6129645865 |
Fax: |