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Byron Rowell Pa
Dental Clinic/Center in Grand Rapids, Minnesota
NPI 1275797763

Byron Rowell Pa is a Dental Clinic/Center based in Grand Rapids, MN and is specialized in Dental. Byron Rowell Pa practices in Grand Rapids, MN. The NPI Number for Byron Rowell Pa is 1275797763 and holds a License No. 8282 (Minnesota).

The current practice location address for Byron Rowell Pa is 510 Nw 2Nd Ave, Grand Rapids, MN and can be reached out via phone at 218-326-1266 and via fax at 218-326-9502.

Location: 510 Nw 2Nd Ave, Grand Rapids, MN, 55744-2627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275797763
Provider Name
Byron Rowell Pa
Credential
Provider Entity Type
Organization
Address
510 Nw 2Nd Ave, Grand Rapids, MN, 55744-2627
Phone Number
218-326-1266
Fax Number
218-326-9502
Provider Enumeration Date
07/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
632317100 01 MN MN CARE
institution
Provider Business Practice Location Address Details
Address
510 Nw 2Nd Ave
City
Grand Rapids
State
Minnesota
Zip
55744-2627
Phone Number
218-326-1266
Fax Number
218-326-9502
person
Provider Business Mailing Address Details
Address
510 Nw 2Nd Ave
City
Grand Rapids
State
Minnesota
Zip
55744-2627
Phone Number
218-326-1266
Fax Number
218-326-9502
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
8282 (Minnesota)
Definition
Definition to come...
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