Individual
DR. JAN GROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
207 5TH AVE N, MINNEAPOLIS, MN 55401-1215
(612) 470-4047
Mailing address
8887 SPRINGWOOD DR, WOODBURY, MN 55125-4902
(651) 734-3567
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14472
MN
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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