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Organization

WILLOW GROVE FAMILY DENTAL

Active
Parent organization
GR SERVICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
GR SERVICES
Authorized official
MR. ALEX GRUDSKY (OWNER - PRESIDENT)
(763) 694-0222
Entity
Organization

Contact information

Practice address
28 NATHAN LN N, PLYMOUTH, MN 55441-6306
(763) 544-5555
(763) 544-0305
Mailing address
28 NATHAN LN N, PLYMOUTH, MN 55441-6306
(763) 544-5555
(763) 544-0305

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MN

Other

Enumeration date
07/25/2013
Last updated
06/20/2018
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