Individual
DR. ANDREW LF HEGSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20 LAKE ST N, SUITE #311, FOREST LAKE, MN 55025-2523
(651) 464-5550
(651) 464-6321
Mailing address
20 LAKE ST N, SUITE #311, FOREST LAKE, MN 55025-2523
(651) 464-5550
(651) 464-6321
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11436
MN
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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