Rostvold, Kimberly Ellen

Rostvold, Kimberly Ellen is an individual health care provider with primary practice located at 4419 Air Base Rd , Hermantown MN 55811-1847. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Rostvold, Kimberly Ellen can be contacted via phone (218) 728-2117.

Contact Information

Primary practice address
4419 Air Base Rd Hermantown MN 55811-1847
Phone: (218) 728-2117
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D14233 Minnesota
Dental Providers / Pediatric Dentistry 1223P0221X D14233 Minnesota
Dental Providers / Dentist 122300000X DS041402 Pennsylvania

Profile Details

NPI number 1417479700
LBN Legal business name Rostvold, Kimberly Ellen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2017
Last updated Jun 19th, 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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