Individual
FREDERICK J HERMANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, PA
Contact information
Practice address
7300 147TH ST W STE 302, APPLE VALLEY, MN 55124-7538
(952) 432-9155
(952) 431-3155
Mailing address
7300 147TH ST W STE 302, APPLE VALLEY, MN 55124-7538
(952) 432-9155
(952) 431-3155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9605
MN
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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