Individual
DR. ROGER HENRY GRANDGENETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
621 E 7TH ST, BLUE EARTH, MN 56013-2516
(507) 526-2170
(507) 526-7437
Mailing address
621 E 7TH ST, BLUE EARTH, MN 56013-2516
(507) 526-2170
(507) 526-7437
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10869
MN
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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