Individual
DR. DANIEL ALLEN BOEDIGHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
520 MAIN STREET, HAWLEY, MN 56549-0849
(218) 483-1038
(218) 483-1339
Mailing address
PO BOX 849, 520 MAIN ST., HAWLEY, MN 56549-0849
(218) 483-1038
(218) 483-1339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7290
MN
Other
Enumeration date
04/06/2006
Last updated
03/12/2012
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