Organization
LUCE LINE FAMILY DENTAL PLLC
Active
Parent organization
LUCE LINE FAMILY DENTAL PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUCE LINE FAMILY DENTAL PLLC
Authorized official
DANIELLE HAHN DDS (PRESIDENT)
(320) 583-4369
Entity
Organization
Contact information
Practice address
612 8TH AVE, HOWARD LAKE, MN 55349-5148
(320) 583-4369
Mailing address
PO BOX 664, HOWARD LAKE, MN 55349-0664
(320) 583-4369
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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