Provider Demographics
NPI:1093747354
Name:KALENDA, KRIS J (DDS)
Entity Type:Individual
Prefix:DR
First Name:KRIS
Middle Name:J
Last Name:KALENDA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 W OLD SHAKOPEE RD
Mailing Address - Street 2:SUITE 221
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437
Mailing Address - Country:US
Mailing Address - Phone:952-881-0201
Mailing Address - Fax:952-346-9337
Practice Address - Street 1:4200 W OLD SHAKOPEE RD
Practice Address - Street 2:SUITE 221
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55437
Practice Address - Country:US
Practice Address - Phone:952-881-0201
Practice Address - Fax:952-346-9337
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN10749122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist