Organization
HERMAN DENTAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH R HERMAN DDS (OWNER/DENTIST)
(507) 725-3341
Entity
Organization
Contact information
Practice address
620 N HIGHWAY 44/76, CALEDONIA, MN 55921
(507) 725-3341
Mailing address
620 N HIGHWAY 44/76, CALEDONIA, MN 55921
(507) 725-3341
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11698
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
781170500
MEDICAL ASSISTANCE
MN
Enumeration date
12/06/2005
Last updated
01/29/2018
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