Ham Lake Dental Pllc | |
16220 Aberdeen St Ne Ste A1 Andover MN 55304-5421 | |
(763) 415-7831 | |
Not Available |
Full Name | Ham Lake Dental Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 16220 Aberdeen St Ne Ste A1, Andover, Minnesota |
Authorized Official Name and Position | Alex Shnaydruk (DENTIST) |
Authorized Official Contact | 9522614307 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ham Lake Dental Pllc 16220 Aberdeen St Ne Ste A1 Andover MN 55304-5421 Ph: (763) 415-7831 | Ham Lake Dental Pllc 16220 Aberdeen St Ne Ste A1 Andover MN 55304-5421 Ph: (763) 415-7831 |
NPI Number | 1104400845 |
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Provider Enumeration Date | 05/10/2021 |
Last Update Date | 05/10/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104400845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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