Individual
PEDER AITON GAALAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
504 NW FIRST AVE, GRAND RAPIDS, MN 55744
(218) 326-0377
Mailing address
504 NW FIRST AVE, SUITE 200, GRAND RAPIDS, MN 55744
(218) 326-0377
(218) 326-0378
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9583
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
443485
UNITED CONCORDIA
—
01
—
71211GA
BCBS
MN
Enumeration date
10/23/2006
Last updated
07/08/2007
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