Healthy Teeth Club

NPI 1093044869 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1093044869
Enumeration Date 12/08/2009
Last Updated 12/08/2009
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name REBECCA LYNNE REBECCA
Position DENTAL HYGIENIST
Phone (651) 894-4391
Fax
Practice Location
13410 CANALVILLE LANE
GRASSTON MN, 55030-2162, US
Phone (651) 894-4391
Fax
Business Location
13410 CANALVILLE LANE
GRASSTON MN, 55030-2162, US
Phone (651) 894-4391
Fax
Toxanomy
Taxonomy Code 124Q00000X
License State
License Number
Remove 1093044869 NPI Number
 

According to our database, Healthy Teeth Club NPI is 1093044869, taxonomy code is 124Q00000X Healthy Teeth Club physically located at 13410 Canalville Lane, Grasston MN, 55030-2162. NPI Number 1033115704 has the healthcare provider type.

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1093044869 NPI number is provided on an as is basis without warranty of any kind. 1093044869 is maintained by the National Plan & Provider Enumeration System. The contents of Healthy Teeth Club are for informational purposes only.