KYLIE ANDERSON, ADT

Dental Therapist

Active Individual
NPI: 1225689060

Practice Address

3650 BRADDOCK AVE NE
Buffalo, MN 55313

Phone: (763) 270-6900

Specialties

Specialty Code Primary License
Dental Hygienist 124Q00000X No H10758 (MN)
Dental Therapist 125J00000X Yes DT128 (MN)

Frequently Asked Questions

NPI 1225689060 is the National Provider Identifier for KYLIE ANDERSON, ADT, a Dental Therapist provider located in Buffalo, MN. This NPI was enumerated on September 23, 2019.
KYLIE ANDERSON, ADT practices at 3650 BRADDOCK AVE NE, Buffalo, MN 55313.

Quick Facts

NPI
1225689060
Type
Individual
Enumerated
Sep 23, 2019
Last Updated
Jul 29, 2025

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