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Ham Lake Dental Pllc
Dental Clinic/Center in Andover, Minnesota
NPI 1104400845

Ham Lake Dental Pllc is a Dental Clinic/Center based in Andover, MN and is specialized in Dental. Ham Lake Dental Pllc practices in Andover, MN. The NPI Number for Ham Lake Dental Pllc is 1104400845 and holds a License No. (Minnesota).

The current practice location address for Ham Lake Dental Pllc is 16220 Aberdeen St Ne Ste A1, Andover, MN and can be reached out via phone at 763-415-7831.

Location: 16220 Aberdeen St Ne Ste A1, Andover, MN, 55304-5421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104400845
Provider Name
Ham Lake Dental Pllc
Credential
Provider Entity Type
Organization
Address
16220 Aberdeen St Ne Ste A1, Andover, MN, 55304-5421
Phone Number
763-415-7831
Fax Number
Provider Enumeration Date
05/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16220 Aberdeen St Ne Ste A1
City
Andover
State
Minnesota
Zip
55304-5421
Phone Number
763-415-7831
Fax Number
person
Provider Business Mailing Address Details
Address
16220 Aberdeen St Ne Ste A1
City
Andover
State
Minnesota
Zip
55304-5421
Phone Number
763-415-7831
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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