Organization
GRAND AVENUE SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHVETA SETIA DDS (DENTIST)
(612) 383-5878
Entity
Organization
Contact information
Practice address
1845 GRAND AVENUE, ST. PAUL, MN 55105
(651) 690-5262
Mailing address
5647 MATTERHORN DR NE, FRIDLEY, MN 55432
(612) 383-5878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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