Individual
DR. SANDRA JO HOUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6545 FRANCE AVE S, SOUTHDALE MED. BLDG., STE. 585, EDINA, MN 55435-2131
(952) 922-9119
(952) 922-2628
Mailing address
8372 STONE CREEK DR, CHANHASSEN, MN 55317-7417
(952) 949-8816
(952) 922-2628
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10788
MN
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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