Organization
GIEBENHAIN DENTAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN NICHOLAS GIEBENHAIN JR. DDS (PRES)
(763) 545-0330
Entity
Organization
Contact information
Practice address
5851 DULUTH STREET, SUITE #103, GOLDEN VALLEY, MN 55422
(763) 545-0330
(763) 277-2096
Mailing address
5851 DULUTH STREET, SUITE #103, GOLDEN VALLEY, MN 55422
(763) 545-0330
(763) 277-2096
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8827
MN
Other
Enumeration date
03/28/2006
Last updated
04/25/2008
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