Individual
HEATHER JOAN HEATHCOTE LUEBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADT, RDH
Contact information
Practice address
8600 NICOLLET AVE S, BLOOMINGTON, MN 55420-2824
(529) 541-2888
(952) 541-2889
Mailing address
8960 SPRINGBROOK DRIVE NW, SUITE 150, MINNEAPOLIS, MN 55433-5852
(763) 784-7570
(763) 785-8960
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
H6785
MN
125K00000X
Advanced Practice Dental Therapist
Primary
DT4
MN
Other
Enumeration date
11/04/2008
Last updated
09/10/2018
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