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Grand Rapids Dental Care Llc
Dental Clinic/Center in Grand Rapids, Minnesota
NPI 1659906204

Grand Rapids Dental Care Llc is a Dental Clinic/Center based in Grand Rapids, MN and is specialized in Dental. Grand Rapids Dental Care Llc practices in Grand Rapids, MN. The NPI Number for Grand Rapids Dental Care Llc is 1659906204 and holds a License No. (Minnesota).

The current practice location address for Grand Rapids Dental Care Llc is 220 Se 21St St, Grand Rapids, MN and can be reached out via phone at 218-326-3438.

Location: 220 Se 21St St, Grand Rapids, MN, 55744-4268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659906204
Provider Name
Grand Rapids Dental Care Llc
Credential
Provider Entity Type
Organization
Address
220 Se 21St St, Grand Rapids, MN, 55744-4268
Phone Number
218-326-3438
Fax Number
Provider Enumeration Date
03/04/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
T65577 01 UPIN
institution
Provider Business Practice Location Address Details
Address
220 Se 21St St
City
Grand Rapids
State
Minnesota
Zip
55744-4268
Phone Number
218-326-3438
Fax Number
person
Provider Business Mailing Address Details
Address
220 Se 21St St
City
Grand Rapids
State
Minnesota
Zip
55744-4268
Phone Number
218-326-3438
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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