Organization
HERZING UNIVERSITY DENTAL HYGIENE CLINIC
Active
Parent organization
HERZING, INCORPORATED
Other names
Lakeland Medical and Dental Academy
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERZING, INCORPORATED
Authorized official
MR. JOHN D SLAMA (CAMPUS PRESIDENT)
(763) 535-3000
Entity
Organization
Contact information
Practice address
5700 W BROADWAY AVE, CRYSTAL, MN 55428-3568
(763) 535-3000
(763) 535-9205
Mailing address
5700 W BROADWAY AVE, CRYSTAL, MN 55428-3568
(763) 535-3000
(763) 535-9205
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
MN
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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