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Organization
NEW BRIGHTON FAMILY DENTISTRY, PLLC
Active
Organization
NEW BRIGHTON FAMILY DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRAYSON WEST DDS (OWNER)
(651) 631-3100
Entity
Organization
Contact information
Practice address
2459 15TH ST NW STE C, NEW BRIGHTON, MN 55112-5595
(651) 631-3100
Mailing address
2459 15TH ST NW STE C, NEW BRIGHTON, MN 55112-5595
(651) 631-3100
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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