Luce Line Family Dental Pllc
NPI #1730926874 in Howard Lake, Minnesota
Provider Information
- NPI Number
- 1730926874
- Entity Type
- Organization
- Organization Name
- Luce Line Family Dental Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LUCE LINE FAMILY DENTAL PLLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 15, 2024
- Last Updated
- Jul 15, 2024
Practice Location
- Address
- 612 8TH AVE
- City
- Howard Lake
- State
- Minnesota
- ZIP Code
- 55349-5148
- Phone
- (320) 583-4369
Authorized Official
- Name
- DANIELLE HAHN, DDS
- Title
- PRESIDENT
- Phone
- (320) 583-4369
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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