Individual
DARIA ALEKSEYEVNA GRISHINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1963 ROBERT ST S STE 100, SAINT PAUL, MN 55118-3942
(651) 724-9689
Mailing address
2732 GRAND AVE S APT 102, MINNEAPOLIS, MN 55408-1415
(612) 889-8611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14172
MN
Other
Enumeration date
05/02/2019
Last updated
05/15/2019
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