Kristal Sue Wilmes Valid NPI
Individual provider · General Practice Dentistry · Tyler, MN
- NPI
- 1982194098
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- D13982 (MN)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2018-05-14
- Last updated
- 2018-05-14
Practice location
197 N Tyler St
Tyler, MN 56178-1160
(507) 380-0127