| Luce Line Family Dental Pllc | |
|
612 8th Ave Howard Lake MN 55349-5148 | |
| (320) 583-4369 | |
| Not Available |
| Full Name | Luce Line Family Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 612 8th Ave, Howard Lake, Minnesota |
| Authorized Official Name and Position | Danielle Hahn (PRESIDENT) |
| Authorized Official Contact | 3205834369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luce Line Family Dental Pllc Po Box 664 Howard Lake MN 55349-0664 Ph: (320) 583-4369 | Luce Line Family Dental Pllc 612 8th Ave Howard Lake MN 55349-5148 Ph: (320) 583-4369 |
| NPI Number | 1730926874 |
|---|---|
| Provider Enumeration Date | 07/15/2024 |
| Last Update Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730926874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Howard Lake Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 8th Ave # 664, Howard Lake, MN 55349 Phone: 320-543-2233 Fax: 320-543-2368 |