| NPI | 1275969263 |
|---|---|
| Doing Business As | GRACE DENTAL |
| Entity Type | Organization |
| Authorized Contact | LAURIE L STODOLA Owner/Dentist 651-430-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN 11396) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |