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Organization
HAWLEY FAMILY DENTISRTY
Active
Organization
HAWLEY FAMILY DENTISRTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE HVIDSTON D.D.S (OWNER)
(218) 483-3311
Entity
Organization
Contact information
Practice address
500 6TH ST, HAWLEY, MN 56549
(218) 483-3311
Mailing address
PO BOX 160, HAWLEY, MN 56549-0160
(218) 483-3311
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D13569
MN
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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