Herzing University Dental Hygiene Clinic

NPI #1841515582 in Crystal, Minnesota

Provider Information

NPI Number: 1841515582
Entity Type: Organization
Organization Name: Herzing University Dental Hygiene Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: HERZING, INCORPORATED
Primary Specialty: Dental Hygienist
Enumeration Date: Apr 6, 2010
Last Updated: Apr 6, 2010

Practice Location

Address: 5700 W BROADWAY AVE
City: Crystal
State: Minnesota
ZIP Code: 55428-3568
Phone: (763) 535-3000

Authorized Official

Name: MR. JOHN D SLAMA
Title: CAMPUS PRESIDENT
Phone: (763) 535-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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