Individual
CASANDRA LYNN DALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 146, TWO HARBORS, MN 55616-0146
(218) 206-4327
Mailing address
208 AVENUE E, CLOQUET, MN 55720-1520
(218) 428-5143
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H9898
MN
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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