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1093044869
HEALTHY TEETH CLUB
GRASSTON, MN
NPI
1093044869
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Entity Type
Organization
Authorized Contact
REBECCA LYNNE FAHNING
Dental Hygienist
651-894-4391
Organization Subpart ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
Enumeration Date
2009-12-08
Last Update Date
2009-12-08
Business Address
HEALTHY TEETH CLUB
13410 CANALVILLE LANE
GRASSTON, MN 55030-2162
Phone number: 651-894-4391
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Mailing Address
HEALTHY TEETH CLUB
13410 CANALVILLE LANE
GRASSTON, MN 55030-2162
Phone number: 651-894-4391
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REBECCA LYNNE FAHNING
HEALTHY TEETH CLUB