| Grand Rapids Dental Care Llc | |
|
220 Se 21st St Grand Rapids MN 55744-4268 | |
| (218) 326-3438 | |
| Not Available |
| Full Name | Grand Rapids Dental Care Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 220 Se 21st St, Grand Rapids, Minnesota |
| Authorized Official Name and Position | Colleen Lamke (OFFICE MANAGER) |
| Authorized Official Contact | 2183263438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Rapids Dental Care Llc 220 Se 21st St Grand Rapids MN 55744-4268 Ph: (218) 326-3438 | Grand Rapids Dental Care Llc 220 Se 21st St Grand Rapids MN 55744-4268 Ph: (218) 326-3438 |
| NPI Number | 1659906204 |
|---|---|
| Provider Enumeration Date | 03/04/2020 |
| Last Update Date | 03/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659906204 | NPI | - | NPPES |
| T65577 | Other | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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