Individual
DR. CLARICE IONE HERMUNSLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8559 EDINBROOK PKWY, BROOKLYN PARK, MN 55443-3747
(763) 425-3644
(763) 425-0953
Mailing address
10803 57TH AVE N, PLYMOUTH, MN 55442-1659
(763) 553-2692
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9831
MN
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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