Individual
CHRISTOPHER BRUCE HERINGLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2305 MINNESOTA BLVD, SAINT CLOUD, MN 56304-2424
(320) 240-6781
Mailing address
2305 MINNESOTA BLVD, SAINT CLOUD, MN 56304-2424
(320) 240-6781
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7913
MN
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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