GROVELAND DENTAL P.A.

SAINT PAUL, MN
NPI1306130430
Entity TypeOrganization
Authorized ContactMATTHEW COLAIZY
President
651-298-0024
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: MN  11657)
Enumeration Date2011-06-07
Last Update Date2011-06-07
Business Address
GROVELAND DENTAL P.A.
2042 SAINT CLAIR AVE
SAINT PAUL, MN 55105-1650
Phone number: 651-298-0024
Mailing Address
GROVELAND DENTAL P.A.
2042 SAINT CLAIR AVE
SAINT PAUL, MN 55105-1650
Phone number: 651-298-0024
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