Organization
WHITE BIRCH DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI ANNE LUND DDS (DENTIST)
(763) 389-1373
Entity
Organization
Contact information
Practice address
510 1ST ST, PRINCETON, MN 55371-1604
(763) 389-1373
(763) 389-0538
Mailing address
510 1ST ST, PRINCETON, MN 55371-1604
(763) 389-1373
(763) 389-0538
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13243
MN
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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