Grand Avenue Smiles | |
1845 Grand Avenue St. Paul MN 55105 | |
(651) 690-5262 | |
Not Available |
Full Name | Grand Avenue Smiles |
---|---|
Speciality | Dentist - General Practice |
Location | 1845 Grand Avenue, St. Paul, Minnesota |
Authorized Official Name and Position | Shveta Setia (DENTIST) |
Authorized Official Contact | 6123835878 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Grand Avenue Smiles 5647 Matterhorn Dr Ne Fridley MN 55432 Ph: (612) 383-5878 | Grand Avenue Smiles 1845 Grand Avenue St. Paul MN 55105 Ph: (651) 690-5262 |
NPI Number | 1437704020 |
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Provider Enumeration Date | 08/09/2019 |
Last Update Date | 08/09/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437704020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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