Individual
DR. GRANT E RAYKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(612) 625-5430
Mailing address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(612) 625-5430
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12004
MN
Other
Enumeration date
08/23/2005
Last updated
10/14/2016
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