Organization
HAM LAKE DENTAL PLLC
Active
Other names
Ham Lake Dental PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX SHNAYDRUK DDS (DENTIST)
(952) 261-4307
Entity
Organization
Contact information
Practice address
16220 ABERDEEN ST NE STE A1, ANDOVER, MN 55304-5421
(763) 415-7831
Mailing address
16220 ABERDEEN ST NE STE A1, ANDOVER, MN 55304-5421
(763) 415-7831
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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