Individual
DR. BRIAN ELMER GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1021 BANDANA BLVD E, SUITE 121, SAINT PAUL, MN 55108-5113
(651) 224-4969
(651) 223-8047
Mailing address
1021 BANDANA BLVD E, SUITE 121, SAINT PAUL, MN 55108-5113
(651) 224-4969
(651) 223-8047
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21748
MA
Other
Enumeration date
09/25/2006
Last updated
10/05/2016
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