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Contact Information

LICENSED DENTAL HYGIENE CARE
5201 EDEN AVE
SUITE 50
EDINA, MN55436-2316
 Phone: 763-545-7545
 Fax: 952-929-2067
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for LICENSED DENTAL HYGIENE CARE · (Female)

NPI # 1912303777
Status Active
Credentials
Entity Individual
Enumeration date 11/06/2014
Last updated 11/07/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO License # 20071454175
  • MN License # D12696
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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