Kylie Miranda Anderson, ADT Valid NPI

Individual provider · Dental Therapist · Buffalo, MN

NPI

1225689060

Type

Individual (Type 1)

Primary specialty

Dental Therapist

Specialty group

Dental Providers

Taxonomy code

125J00000X

License number

DT128 (MN)

Sex

Female

Sole proprietor

No

Enumerated

2019-09-23

Last updated

2025-07-29