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Organization
CHILDREN'S DENTAL HEALTH SERVICES
Active
Organization
CHILDREN'S DENTAL HEALTH SERVICES
Active
Other names
Children's Dental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH ANNE HAYES ANDERSON (EXECUTIVE DIRECTOR)
(507) 529-0436
Entity
Organization
Contact information
Practice address
1615 14TH ST NW, ROCHESTER, MN 55901-0257
(507) 529-0436
(507) 529-0435
Mailing address
1615 14TH ST NW, ROCHESTER, MN 55901-0257
(507) 529-0436
(507) 529-0435
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
H3646
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
780529200
REG. DENTAL HYGIENIST
MN
Enumeration date
10/05/2006
Last updated
07/16/2025
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