| Kreklow Dental | |
|
510 Nw 2nd Ave Grand Rapids MN 55744-2627 | |
| (218) 326-1266 | |
| Not Available |
| Full Name | Kreklow Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 510 Nw 2nd Ave, Grand Rapids, Minnesota |
| Authorized Official Name and Position | Gretchen Marie Kreklow (PROVIDER) |
| Authorized Official Contact | 2188317246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kreklow Dental 510 Nw 2nd Ave Grand Rapids MN 55744-2627 Ph: (218) 326-1266 | Kreklow Dental 510 Nw 2nd Ave Grand Rapids MN 55744-2627 Ph: (218) 326-1266 |
| NPI Number | 1104490689 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 05/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104490689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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