Grand Avenue Dental, LLC
Grand Avenue Dental, LLC is a Dental Clinic/Center in Saint Paul, Minnesota. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
960 Grand AveSaint Paul, MN 55105-3014
Phone: (651) 291-9667
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 | 1154933661 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Tyler — Business Manager · (651) 291-9667 |
| NPI enumerated | August 18, 2020 |
| Last updated in NPPES | August 18, 2020 |
| Certification date | August 18, 2020 |
| Mailing address | 960 Grand Ave, Saint Paul, MN 55105-3014 |
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