Individual
DR. CARL HAEDGE III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1525 LIVINGSTON AVE, WEST SAINT PAUL, MN 55118-3411
(651) 457-4888
(651) 457-6682
Mailing address
19165 EAGLEVIEW LN, PRIOR LAKE, MN 55372-3801
(952) 226-6312
(651) 457-6682
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7677
MN
Other
Enumeration date
10/11/2005
Last updated
07/08/2007
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