Dr.crandall D.d.s
NPI #1780095828 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1780095828
- Entity Type
- Organization
- Organization Name
- Dr.crandall D.d.s
- Primary Specialty
- Dentist
- Enumeration Date
- May 12, 2014
- Last Updated
- May 12, 2014
Practice Location
- Address
- 2300 HIGHWAY 96 E
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-2620
- Phone
- (651) 429-5354
Authorized Official
- Name
- MRS. ANNA SHELANDER
- Title
- OFFICE MANAGER
- Phone
- (651) 429-5354
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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