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1811972292
GREAT RIVER DENTAL P.A.
SAINT PAUL, MN
NPI
1811972292
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Entity Type
Organization
Authorized Contact
JEFFREY ROZINKA
Owner
651-222-0986
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2005-12-08
Last Update Date
2020-08-22
Business Address
GREAT RIVER DENTAL P.A.
375 JACKSON ST
SAINT PAUL, MN 55101-1810
Phone number: 651-222-0983
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Mailing Address
GREAT RIVER DENTAL P.A.
375 JACKSON ST
SAINT PAUL, MN 55101-1806
Phone number: 651-222-0983
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