Organization
DENTAL GT
Active
Other names
Red River Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRET THORLAKSON DMD (DENTIST, CEO)
(701) 265-2931
Entity
Organization
Contact information
Practice address
1416 CENTRAL AVE NE, EAST GRAND FORKS, MN 56721-1605
(218) 773-3004
Mailing address
1416 CENTRAL AVE NE, EAST GRAND FORKS, MN 56721-1605
(218) 773-3004
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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