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Organization

DR.CRANDALL D.D.S

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANNA SHELANDER (OFFICE MANAGER)
(651) 429-5354
Entity
Organization

Contact information

Practice address
2300 HIGHWAY 96 E, WHITE BEAR LAKE, MN 55110-2620
(651) 429-5354
(651) 653-0981
Mailing address
2300 HIGHWAY 96 E, WHITE BEAR LAKE, MN 55110-2620
(651) 429-5354
(651) 653-0981

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6428
MN

Other

Enumeration date
05/12/2014
Last updated
05/12/2014
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