Organization
HARBOR DENTAL PA
Active
Other names
Kathleen G Swanson DDS PA
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN G SWANSON DDS (DDS OWNER)
76355530451
Entity
Organization
Contact information
Practice address
3001 HARBOR LANE, SUITE 100, PLYMOUTH, MN 55447
(763) 553-0451
(763) 559-3425
Mailing address
3001 HARBOR LANE, SUITE 100, PLYMOUTH, MN 55447
(763) 553-0451
(763) 559-3425
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9384
MN
122300000X
Dentist
9385
MN
122300000X
Dentist
Primary
D11435
MN
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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