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Organization
WEST RANGE DENTAL PLLC
Active
Organization
WEST RANGE DENTAL PLLC
Active
Parent organization
KYLE HAMMER DDS PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KYLE HAMMER DDS PLLC
Authorized official
DR. KYLE DONOVAN HAMMER DDS (OWNER PRESIDENT)
(218) 348-4012
Entity
Organization
Contact information
Practice address
1043 E US HIGHWAY 169, GRAND RAPIDS, MN 55744-3165
(218) 326-2560
Mailing address
9 EASTRIDGE BLVD, DULUTH, MN 55804-3124
(218) 348-4012
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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