Individual
ALYSSA ANNE HEDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
303 E 3RD STREET, GRAND MARAIS, MN 55604
(218) 387-2774
(218) 387-1393
Mailing address
PO BOX 670, GRAND MARAIS, MN 55604-0670
(218) 387-2774
(218) 387-1393
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11942
MN
Other
Enumeration date
04/16/2007
Last updated
04/30/2008
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