Individual
MELISSA CAROL HAGBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7674 DESIGN RD, BAXTER, MN 56425-8439
(218) 828-4816
Mailing address
6944 COUNTY ROAD 127, BRAINERD, MN 56401-7214
(218) 270-0324
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
H7582
MN
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
09/14/2022
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