NPI 1740510510
Healthy Teeth Club
Practice location
- Address
- 13410 Canalville Ln, Grasston, MN 55030-2162
- Phone
- (651) 894-4391
Authorised official
- Name
- Rebecca L Fahning
- Title
- Collaborative Dental Hygienist
- Phone
- (651) 894-4391
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1740510510
- Entity type
- Organization
- NPI issued
- 30 Dec 2009
- Record last updated
- 30 Dec 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.