Individual
DR. THOMAS E GRZESKOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1430 HIGHWAY 96, WHITE BEAR LAKE, MN 55110
(651) 426-9502
(651) 653-2158
Mailing address
MALL CODE 21113A, PO BOX 1309, MINNEAPOLIS, MN 55440-1308
(952) 883-5151
(952) 883-5160
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7948
MN
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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