Individual
SUSAN LYNN HJORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
FOND DU LAC HUMAN SERVICES DIVISION, 927 TRETTEL LANE, CLOQUET, MN 55720
(218) 879-1227
(218) 878-2188
Mailing address
927 TRETTEL LN, CLOQUET, MN 55720-1345
(218) 879-1227
(218) 878-3800
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
D10797
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
983227100
—
MN
Enumeration date
01/16/2007
Last updated
03/07/2023
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