Ham Lake Dental Pllc

NPI #1104400845 in Andover, Minnesota

Provider Information

NPI Number
1104400845
Entity Type
Organization
Organization Name
Ham Lake Dental Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 10, 2021
Last Updated
May 10, 2021

Practice Location

Address
16220 ABERDEEN ST NE STE A1
ZIP Code
55304-5421
Phone
(763) 415-7831

Authorized Official

Name
DR. ALEX SHNAYDRUK, DDS
Title
DENTIST
Phone
(952) 261-4307

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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