OrganizationActive
Healthy Teeth Club
NPI 1740510510 · Dental Hygienist · Grasston, MN
Provider details
- NPI number
- 1740510510
- Entity type
- Organization
- Primary specialty
- Dental HygienistDental Providers
- Organization subpart
- No
- Authorized official
- Rebecca Fahning, Collaborative Dental Hygienist(651) 894-4391
- License
- H5749 (MN)
Specialties & taxonomies
Dental Providers
Practice location
13410 Canalville Ln
Grasston, MN 55030-2162
Phone: (651) 894-4391
Approximate (ZIP-level) locationGet directions
Mailing address
13410 Canalville Ln
Grasston, MN 55030-2162
Registry dates
- Enumerated
- 2009-12-30
- Last updated
- 2009-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.