Female

Miss April L. Koller CRDA

Dental Assistant in Woodbury, MN(View on Map)

Full Name

Miss April Lee Koller CRDA

NPI Number

1760666176

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/20/2007

Specialties

(Taxonomies)

Code

126800000X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

A8688

Contact
Information

Purpose

Mailing
Location

Address

1789 WOODLANE DR
1789 WOODLANE DR

City

Woodbury
Woodbury

State

MN
MN

Postal Code

55125-3910
55125-3910

Country

US
US

Telephone Number

(651) 738-1284
(651) 738-1284

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/20/2007

Provider Address

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