Johnson-Hetchler, Kylie Miranda

Johnson-Hetchler, Kylie Miranda is an individual health care provider with primary practice located at 3650 Braddock Ave Ne , Buffalo MN 55313-3672. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Hygienist, Dental Providers / Dental Therapist. Dental Providers / Dental Therapist is her primary health care specialty. Johnson-Hetchler, Kylie Miranda can be contacted via phone (763) 270-6900.

Contact Information

Primary practice address
3650 Braddock Ave Ne Buffalo MN 55313-3672
Phone: (763) 270-6900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H10758 Minnesota
Dental Providers / Dental Therapist 125J00000X DT128 Minnesota

Profile Details

NPI number 1225689060
LBN Legal business name Johnson-Hetchler, Kylie Miranda
Credentials ADT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2019
Last updated May 9th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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