Individual
MAI ANH HOANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 US 14 EAST, ROCHESTER, MN 55904
(507) 258-7934
Mailing address
9117 NEVADA CT N, BROOKLYN PARK, MN 55445-3264
(612) 391-7317
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
H11400
MN
125J00000X
Dental Therapist
Primary
DT165
MN
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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