| Dental Gt | |
|
1416 Central Ave Ne East Grand Forks MN 56721-1605 | |
| (218) 773-3004 | |
| Not Available |
| Full Name | Dental Gt |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1416 Central Ave Ne, East Grand Forks, Minnesota |
| Authorized Official Name and Position | Garret Thorlakson (DENTIST, CEO) |
| Authorized Official Contact | 7012652931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Gt 1416 Central Ave Ne East Grand Forks MN 56721-1605 Ph: (218) 773-3004 | Dental Gt 1416 Central Ave Ne East Grand Forks MN 56721-1605 Ph: (218) 773-3004 |
| NPI Number | 1265114060 |
|---|---|
| Provider Enumeration Date | 08/02/2023 |
| Last Update Date | 08/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265114060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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