Gary L Granseth
Gary L Granseth is a Dental Clinic/Center in Winona, Minnesota. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1201 Gilmore AveWinona, MN 55987-2424
Phone: (507) 452-8668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1558974816 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gary Granseth — Owner · (507) 452-8668 |
| NPI enumerated | August 26, 2020 |
| Last updated in NPPES | August 26, 2020 |
| Certification date | August 26, 2020 |
| Mailing address | 1201 Gilmore Ave, Winona, MN 55987-2424 |
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Winona Pediatric Dentistry LLC
150 E 4th St, Winona, MN 55987-3512 · (507) 452-1543