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Haasken Dental, Llc
Dental Clinic/Center in Mora, Minnesota
NPI 1104435395

Haasken Dental, Llc is a Dental Clinic/Center based in Mora, MN and is specialized in Dental. Haasken Dental, Llc practices in Mora, MN. The NPI Number for Haasken Dental, Llc is 1104435395 and holds a License No. (Minnesota).

The current practice location address for Haasken Dental, Llc is 130 Forest Ave E, Mora, MN and can be reached out via phone at 320-679-1010.

Location: 130 Forest Ave E, Mora, MN, 55051-1510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104435395
Provider Name
Haasken Dental, Llc
Credential
Provider Entity Type
Organization
Address
130 Forest Ave E, Mora, MN, 55051-1510
Phone Number
320-679-1010
Fax Number
Provider Enumeration Date
07/24/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HA1871509950 05 MN
institution
Provider Business Practice Location Address Details
Address
130 Forest Ave E
City
Mora
State
Minnesota
Zip
55051-1510
Phone Number
320-679-1010
Fax Number
person
Provider Business Mailing Address Details
Address
130 Forest Ave E
City
Mora
State
Minnesota
Zip
55051-1510
Phone Number
320-679-1010
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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