Individual
BRITTANY GRONLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
25730 SMITHTOWN RD, EXCELSIOR, MN 55331-8592
(952) 334-7384
Mailing address
25730 SMITHTOWN RD, EXCELSIOR, MN 55331-8592
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT39
MN
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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