| Grove Health Dental Pllc | |
|
9907 Maple Grove Pkwy N Maple Grove MN 55369-4492 | |
| (763) 416-0011 | |
| (763) 416-5006 |
| Full Name | Grove Health Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9907 Maple Grove Pkwy N, Maple Grove, Minnesota |
| Authorized Official Name and Position | Janna Rae Holmgren (DENTIST) |
| Authorized Official Contact | 7634160011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grove Health Dental Pllc 9907 Maple Grove Pkwy N Maple Grove MN 55369-4492 Ph: (763) 416-0011 | Grove Health Dental Pllc 9907 Maple Grove Pkwy N Maple Grove MN 55369-4492 Ph: (763) 416-0011 |
| NPI Number | 1710684196 |
|---|---|
| Provider Enumeration Date | 02/15/2023 |
| Last Update Date | 02/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710684196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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