Individual
DR. SARAH LYNN HERMANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
18315 CASCADE DR, #120, EDEN PRAIRIE, MN 55347-1180
(952) 949-2536
(952) 949-3942
Mailing address
4057 NORTHVIEW TER, EAGAN, MN 55123-1555
(651) 698-0051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11261
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137312900
—
MN
Enumeration date
12/14/2006
Last updated
01/24/2018
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