Organization
HAMLINE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE MARIE DEVINE (BUSINESS MANAGER)
(651) 699-5600
Entity
Organization
Contact information
Practice address
1347 LARPENTEUR AVE W, FALCON HEIGHTS, MN 55113-6302
(651) 699-5600
(651) 699-1966
Mailing address
1347 LARPENTEUR AVE W, FALCON HEIGHTS, MN 55113-6302
(651) 699-5600
(651) 699-1966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
10/05/2023
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