Dental Gt | |
1416 Central Ave Ne East Grand Forks MN 56721-1605 | |
(218) 773-3004 | |
Not Available |
Full Name | Dental Gt |
---|---|
Speciality | Clinic/center - Dental |
Location | 1416 Central Ave Ne, East Grand Forks, Minnesota |
Authorized Official Name and Position | Garret Thorlakson (DENTIST, CEO) |
Authorized Official Contact | 7012652931 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dental Gt 1416 Central Ave Ne East Grand Forks MN 56721-1605 Ph: (218) 773-3004 | Dental Gt 1416 Central Ave Ne East Grand Forks MN 56721-1605 Ph: (218) 773-3004 |
NPI Number | 1265114060 |
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Provider Enumeration Date | 08/02/2023 |
Last Update Date | 08/02/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265114060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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