Brent R Kvittem, DDS
Dentist, Pediatric Dentistry in Savage, MN. Individual provider (NPI-1).
NPI number1245306505
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1245306505
- Entity type
- Individual (NPI-1)
- Name
- Brent R Kvittem
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 28, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 10932 | MN | Yes |
Practice location
7629 Egan DrSavage, MN 55378-2208
Phone 952-440-5100 · Fax 952-440-5140
Mailing address
19352 Stonegate DrPrior Lake, MN 55372-3130
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