Individual
GUNNAR VRAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15015 CIMARRON AVE, ROSEMOUNT, MN 55068-2771
(952) 423-2288
Mailing address
2200 COUNTY ROAD C W STE 2210, ROSEVILLE, MN 55113-2551
(651) 746-2815
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14370
MN
1223G0001X
General Practice Dentistry
D14370
MN
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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