Organization
SHAMBLOTT FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTINA LEA VERHALEN (CLINIC ADMINISTRATOR)
(952) 935-5599
Entity
Organization
Contact information
Practice address
33 10TH AVE S, SUITE 250, HOPKINS, MN 55343-1303
(952) 935-5599
(952) 935-7842
Mailing address
33 10TH AVE S, SUITE 250, HOPKINS, MN 55343-1303
(952) 935-5599
(952) 935-7842
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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