Individual
DR. ANGELA M HASTINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6140 LAKE LINDEN DR, SUITE 111, EXCELSIOR, MN 55331-2954
(952) 380-1111
(952) 380-1111
Mailing address
7013 CAREY LN, MAPLE GROVE, MN 55369-5406
(763) 221-5934
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13264
MN
Other
Enumeration date
06/30/2013
Last updated
08/16/2014
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