Individual
DENNIS LYNN HETLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3525 25TH STREET SOUTH, FARGO, ND 58104-5900
(701) 298-9400
Mailing address
3525 25TH ST S, FARGO, ND 58104-5900
(701) 298-9400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1783
ND
Other
Enumeration date
09/20/2006
Last updated
05/20/2009
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