| Gracepoint Family Dentistry | |
|
4851 124th Ln Ne Blaine MN 55449-7302 | |
| (952) 457-1462 | |
| (763) 432-0419 |
| Full Name | Gracepoint Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 4851 124th Ln Ne, Blaine, Minnesota |
| Authorized Official Name and Position | Oluwakayode Adebola Olowoyo (OWNER) |
| Authorized Official Contact | 9524571462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gracepoint Family Dentistry 4851 124th Ln Ne Blaine MN 55449-7302 Ph: (952) 457-1462 | Gracepoint Family Dentistry 4851 124th Ln Ne Blaine MN 55449-7302 Ph: (952) 457-1462 |
| NPI Number | 1548641657 |
|---|---|
| Provider Enumeration Date | 06/15/2015 |
| Last Update Date | 06/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548641657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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