Christopher Bruce Heringlake, DDS
Dentist in Saint Cloud, MN. Individual provider (NPI-1).
NPI number1306480686
StatusActive
Last updated in NPPESOct 30, 2019
Details
- NPI
- 1306480686
- Entity type
- Individual (NPI-1)
- Name
- Christopher Bruce Heringlake
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 30, 2019
- Last updated
- Oct 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D7913 | MN | Yes |
Practice location
2305 Minnesota BlvdSaint Cloud, MN 56304-2424
Phone 320-240-6781
Mailing address
2305 Minnesota BlvdSaint Cloud, MN 56304-2424
Phone 320-240-6781
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All 17 Dentist providers in Saint Cloud · All 4,526 providers in Saint Cloud
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