Individual
MR. BRUCE W HULTGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7825 TERREY PINE COURT, SUITE 101, EDEN PRAIRIE, MN 55347
(952) 937-0111
(952) 937-1492
Mailing address
7825 TERREY PINE COURT, SUITE 101, EDEN PRAIRIE, MN 55347
(952) 937-0111
(952) 937-1492
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8152
MN
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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