Individual
RUSSELL CRAIG HAUGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1815 SUBURBAN AVE STE 200, SAINT PAUL, MN 55119-4380
(651) 735-4661
(651) 735-1910
Mailing address
1815 SUBURBAN AVE STE 200, SAINT PAUL, MN 55119-4380
(651) 735-4661
(651) 735-1910
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9766
MN
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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