NPI 1760666176

April Lee Koller, CRDA

Practitioner Dental Assistant Woodbury, MN

Practice location

Address: 1789 Woodlane Dr Suite D, Woodbury, MN 55125-3910
Phone: (651) 738-1284

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence A8688 (MN)

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Registry record

NPI: 1760666176
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Dec 2007
Record last updated: 20 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.