Individual
AUDREY GREAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1670 BEAM AVE, SAINT PAUL, MN 55109-1201
(651) 925-8400
Mailing address
8970 WINDSOR TER, BROOKLYN PARK, MN 55443-3800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2017029554
MO
122300000X
Dentist
D13455
MN
Other
Enumeration date
07/22/2014
Last updated
04/30/2026
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