| Roseau Dental Clinic | |
|
903 3rd St Ne Suite A Roseau MN 56751-1217 | |
| (218) 450-2944 | |
| (218) 450-2945 |
| Full Name | Roseau Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 903 3rd St Ne, Roseau, Minnesota |
| Authorized Official Name and Position | Edward Gracza (DENTIST) |
| Authorized Official Contact | 2184502944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roseau Dental Clinic Po Box 280 Roseau MN 56751-0280 Ph: (218) 450-2944 | Roseau Dental Clinic 903 3rd St Ne Suite A Roseau MN 56751-1217 Ph: (218) 450-2944 |
| NPI Number | 1003275421 |
|---|---|
| Provider Enumeration Date | 02/12/2016 |
| Last Update Date | 02/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003275421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D10236 (Minnesota) | Primary |
Lorris G. Vatnsdal, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 205a 2nd Ave Nw, Roseau, MN 56751 Phone: 218-463-2100 Fax: 218-463-3055 | |
Nghi Trinh-pham, Dds Dental Clinic Medicare: Medicare Enrolled Practice Location: 308 Center St W, Roseau, MN 56751 Phone: 218-463-1070 Fax: 218-463-1170 | |
J.m. Hallie Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 4th Ave Nw, Roseau, MN 56751 Phone: 218-463-2553 Fax: 218-463-9464 |