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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRAND AVENUE DENTAL, LLC

Active Organization

Dental Clinic · SAINT PAUL, MN

Registration Details

NPI Number
1154933661
Provider Type
Organization
NPI Issued
Aug 18, 2020 (5.6943901082173 yrs)
Last Updated
Aug 18, 2020

Practice Information

Address
960 GRAND AVE
SAINT PAUL, MN, 551053014
Browse MN providers · Browse ZIP 55105
Phone
6512919667
Primary Specialty
Dental Clinic
261QD0000X

Other Dental Clinic Organizations in SAINT PAUL, MN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.