Organization
GROVE HEALTH DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANNA RAE HOLMGREN DDS (DENTIST)
(763) 416-0011
Entity
Organization
Contact information
Practice address
9907 MAPLE GROVE PKWY N, MAPLE GROVE, MN 55369-4492
(763) 416-0011
(763) 416-5006
Mailing address
9907 MAPLE GROVE PKWY N, MAPLE GROVE, MN 55369-4492
(763) 416-0011
(763) 416-5006
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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