Grittners Dental PLLC
Clinic/Center, Dental in Saint Paul, MN. Organization (NPI-2).
NPI number1396332425
StatusActive
Last updated in NPPESDec 22, 2020
Details
- NPI
- 1396332425
- Entity type
- Organization (NPI-2)
- Legal business name
- Grittners Dental PLLC
- Organization subpart
- No
- Enumeration date
- Dec 22, 2020
- Certification date
- Dec 22, 2020
- Last updated
- Dec 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Highgrove Dental Care (Doing Business As)
Practice location
670 Cleveland Ave S Ste 100Saint Paul, MN 55116-1218
Phone 612-483-6144
Mailing address
1488 Breda AveSaint Paul, MN 55108-2607
Phone 612-483-6144
Authorized official
Jadilyn Nguyen Grittner
Owner Dentist
6124836144
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