person
Dr. Kishore Vel Damodaran, DDS
Student in an Organized Health Care Education/Training Program in Rochester, Minnesota
NPI 1700456142

Kishore Vel Damodaran is a Student in an Organized Health Care Education/Training Program based in Mahtomedi, MN. Kishore Vel Damodaran practices in Rochester, MN and has the professional credentials of DDS. The NPI Number for Kishore Vel Damodaran is 1700456142 and holds a License No. (Minnesota).

The current practice location address for Kishore Vel Damodaran is 2210 Broadway Ave N, Rochester, MN and can be reached out via phone at 507-288-7379.

Location: 2210 Broadway Ave N, Rochester, MN, 55115-1981
person
Provider Profile Details
NPI Number
1700456142
Provider Name
Kishore Vel Damodaran
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2210 Broadway Ave N, Rochester, MN, 55115-1981
Phone Number
507-288-7379
Fax Number
Provider Enumeration Date
06/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2210 Broadway Ave N
City
State
Zip
55906-4009
Phone Number
507-288-7379
Fax Number
person
Provider Business Mailing Address Details
Address
2210 Broadway Ave N
City
State
Zip
55906-4009
Phone Number
507-288-7379
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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