Healthcare Provider Details

I. General information

NPI: 1144847484
Provider Name (Legal Business Name): BRITTA ANN KRONZER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2020
Last Update Date: 07/02/2020
Certification Date: 07/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 HIGHWAY 14 E
ROCHESTER MN
55904-5101
US

IV. Provider business mailing address

3031 TOWNE CLUB PKWY SE APT 219
ROCHESTER MN
55904-6798
US

V. Phone/Fax

Practice location:
  • Phone: 507-258-7934
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD14408
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: