Individual
ELLEN C VANDER HEYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
327 13TH ST S STE 100, DELANO, MN 55328-4631
(763) 972-2915
Mailing address
132 4TH ST S, DELANO, MN 55328-9182
(414) 897-6943
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14025
MN
Other
Enumeration date
05/23/2018
Last updated
03/06/2019
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