Individual
GRACE GARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455
(612) 624-8600
Mailing address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2951000940
MI
122300000X
Dentist
Primary
D15191
MN
Other
Enumeration date
07/17/2023
Last updated
10/03/2024
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