| Rupp And Grabowski Family Dentistry, Pa | |
|
916 W Saint Germain St #114 Saint Cloud MN 56301-3424 | |
| (320) 251-1912 | |
| (320) 251-2331 |
| Full Name | Rupp And Grabowski Family Dentistry, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 916 W Saint Germain St, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Derek Grabowski (OWNER) |
| Authorized Official Contact | 3202511912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rupp And Grabowski Family Dentistry, Pa 916 W Saint Germain St #114 Saint Cloud MN 56301-3424 Ph: (320) 251-1912 | Rupp And Grabowski Family Dentistry, Pa 916 W Saint Germain St #114 Saint Cloud MN 56301-3424 Ph: (320) 251-1912 |
| NPI Number | 1265753693 |
|---|---|
| Provider Enumeration Date | 06/21/2010 |
| Last Update Date | 06/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265753693 | NPI | - | NPPES |
| 1386729291 | Medicaid | MN | |
| 1538270442 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D12072 (Minnesota) | Primary |
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