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Organization
GRACZA & GRACZA INC
Active
Organization
GRACZA & GRACZA INC
Active
Other names
Roseau Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD GRACZA DDS (DENTIST)
(218) 450-2944
Entity
Organization
Contact information
Practice address
903 3RD ST NE, SUITE A, ROSEAU, MN 56751-1217
(218) 450-2944
(218) 450-2945
Mailing address
PO BOX 280, ROSEAU, MN 56751-0280
(218) 450-2944
(218) 450-2945
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10236
MN
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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