Organization
HOGLUND WALLIN DENTISTRY PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE HAGLUND DDS (PARTNER)
(651) 482-8332
Entity
Organization
Contact information
Practice address
1270 COPE AVE E, MAPLEWOOD, MN 55109
(651) 482-8332
(651) 482-7839
Mailing address
1270 COPE AVE E, MAPLEWOOD, MN 55109
(651) 482-8332
(651) 482-7839
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1234
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239RODE
BCBS
MN
01
—
818020
UNITED CONCORDIA
MN
Enumeration date
08/25/2006
Last updated
08/22/2020
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