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Individual

DR. SANDRA HUEBSCH KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D,D,S,

Contact information

Practice address
11800 ABERDEEN ST NE STE 110, BLAINE, MN 55449-4812
(763) 786-4280
(763) 754-6226
Mailing address
11800 ABERDEEN ST NE STE 110, BLAINE, MN 55449-4812
(763) 786-4280
(763) 754-6226

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10866
MN

Other

Enumeration date
11/15/2006
Last updated
07/08/2007
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