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Organization
ANNANDALE DENTAL CLINIC PC
Active
Organization
ANNANDALE DENTAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY DAVID HEGGE DDS (OWNER/PRESIDENT)
(320) 274-2475
Entity
Organization
Contact information
Practice address
93 OAK AVE S, UNIT #3, ANNANDALE, MN 55302-1205
(320) 274-2475
(320) 274-3152
Mailing address
PO BOX 539, ANNANDALE, MN 55302-0539
(320) 274-2475
(320) 274-3152
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D11795
MN
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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