| Ham Lake Dental Pllc | |
|
16220 Aberdeen St Ne Ste A1 Andover MN 55304-5421 | |
| (763) 415-7831 | |
| Not Available |
| Full Name | Ham Lake Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 16220 Aberdeen St Ne Ste A1, Andover, Minnesota |
| Authorized Official Name and Position | Alex Shnaydruk (DENTIST) |
| Authorized Official Contact | 9522614307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ham Lake Dental Pllc 16220 Aberdeen St Ne Ste A1 Andover MN 55304-5421 Ph: (763) 415-7831 | Ham Lake Dental Pllc 16220 Aberdeen St Ne Ste A1 Andover MN 55304-5421 Ph: (763) 415-7831 |
| NPI Number | 1104400845 |
|---|---|
| Provider Enumeration Date | 05/10/2021 |
| Last Update Date | 05/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104400845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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