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Individual

DR. RANDAHL BURGESS HOGHAUG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1019 CAMP JIM RD. S.W., PILLAGER, MN 56473
(218) 828-8055
Mailing address
1019 CAMP JIM RD. S.W., PILLAGER, MN 56473
(218) 828-8055

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7314
MN

Other

Enumeration date
01/11/2013
Last updated
01/11/2013
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