Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN M MOEN, DDS
ActiveKATHLEEN M MOEN, DDS is a Dentist healthcare provider located in AVON, Minnesota. NPI 1891785226 is currently active in the NPPES registry. Verify at CMS.
Dentist · AVON, MN
Registration Details
- NPI Number
- 1891785226
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 26, 2005 (20.65459120344 yrs)
- Last Updated
- Nov 26, 2007
- License
-
10962 (MN)
Practice Information
- Address
-
300 AVON AVE SSUITE FAVON, MN, 563108516Browse MN providers · Browse ZIP 56310
- Phone
- 3203567374
- Fax
- 3203569427
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in AVON, MN
| Name | Credential | NPI |
|---|---|---|
| DR. ALYSSA LYNN GULLICKSON | D.D.S. | 1013277094 |
| NICOLETTE THERESE PORTTIIN | DDS | 1457972770 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.