Organization · Type 2 NPI
Ham Lake Dental PLLC
Dental Clinic/Center · Andover, MN
NPI number
1104400845
Active
Practice location
16220 Aberdeen St NE Ste A1
Andover, MN 55304-5421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Andover
About NPI 1104400845
Ham Lake Dental PLLC's National Provider Identifier is 1104400845, issued on May 10, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Andover, MN. The record was last updated on May 10, 2021.