Gunnar Vraa
Dentist in Rosemount, MN. Individual provider (NPI-1).
NPI number1164048971
StatusActive
Last updated in NPPESJun 18, 2020
Details
- NPI
- 1164048971
- Entity type
- Individual (NPI-1)
- Name
- Gunnar Vraa
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2020
- Certification date
- Jun 18, 2020
- Last updated
- Jun 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D14370 | MN | Yes |
| 1223G0001X | Dentist, General Practice | D14370 | MN |
Practice location
15015 Cimarron AveRosemount, MN 55068-2771
Phone 952-423-2288
Mailing address
2200 County Road C W Ste 2210Roseville, MN 55113-2551
Phone 651-746-2815
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