Individual
SARAH LYNN WILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3430 OUTER DR, HIBBING, MN 55746-2659
(651) 249-9945
Mailing address
3430 OUTER DR, HIBBING, MN 55746-2659
(651) 249-9945
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7657
MN
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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