Individual
DR. GRACE ANN WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4110 CEDAR AVE S, MINNEAPOLIS, MN 55407-3433
(612) 721-1272
(612) 721-1803
Mailing address
4110 CEDAR AVE S, MINNEAPOLIS, MN 55407-3433
(612) 721-1272
(612) 721-1803
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
9504
MN
1223G0001X
General Practice Dentistry
Primary
9504
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143320200
—
MN
Enumeration date
08/21/2006
Last updated
12/09/2016
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