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NPI Profile for KELLY INGRAHAM in ROCHESTER, MN.
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthodontics |
1223P0700X | |||
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) |
| NPI # | 1629606199 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/31/2020 | |
| Last updated | 01/28/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KELLY INGRAHAM
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KELLY INGRAHAM