Organization
GAALAAS ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEDER A. GAALAAS DDS (ORTHODONTIST)
(218) 326-0377
Entity
Organization
Contact information
Practice address
280 NW 6TH ST, GRAND RAPIDS, MN 55744-2663
(218) 326-0377
Mailing address
280 NW 6TH ST, GRAND RAPIDS, MN 55744-2663
(218) 326-0377
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
13554
MN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9583
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255414025
—
MN
05
—
1841673399
—
MN
Enumeration date
03/02/2018
Last updated
01/12/2022
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