Organization
HUGO DENTAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARI LIESTMAN DDS (OWNER)
(320) 217-9940
Entity
Organization
Contact information
Practice address
5677 147TH ST N, HUGO, MN 55038-9302
(320) 217-9940
Mailing address
15895 YELLOW PINE ST NW, ANDOVER, MN 55304-4596
(320) 217-9940
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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