Organization
HAASKEN DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINNEA M HAASKEN (OFFICE MANAGER)
(320) 679-1010
Entity
Organization
Contact information
Practice address
130 FOREST AVE E, MORA, MN 55051-1510
(320) 679-1010
Mailing address
130 FOREST AVE E, MORA, MN 55051-1510
(320) 679-1010
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HA1871509950
—
MN
Enumeration date
07/24/2020
Last updated
07/24/2020
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