Dr.crandall D.d.s | |
2300 Highway 96 E White Bear Lake MN 55110-2620 | |
(651) 429-5354 | |
(651) 653-0981 |
Full Name | Dr.crandall D.d.s |
---|---|
Speciality | Dentist |
Location | 2300 Highway 96 E, White Bear Lake, Minnesota |
Authorized Official Name and Position | Anna Shelander (OFFICE MANAGER) |
Authorized Official Contact | 6514295354 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr.crandall D.d.s 2300 Highway 96 E White Bear Lake MN 55110-2620 Ph: (651) 429-5354 | Dr.crandall D.d.s 2300 Highway 96 E White Bear Lake MN 55110-2620 Ph: (651) 429-5354 |
NPI Number | 1780095828 |
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Provider Enumeration Date | 05/12/2014 |
Last Update Date | 05/12/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780095828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 6428 (Minnesota) | Primary |
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