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Individual

DR. ANDREW CHARLES GREENSLADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2112 VIKING DR NW STE A, ROCHESTER, MN 55901-3522
(507) 288-1101
(507) 288-1710
Mailing address
2112 VIKING DR NW STE A, ROCHESTER, MN 55901-3522
(507) 288-1101
(507) 288-1710

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1001886-15
WI
1223G0001X
General Practice Dentistry
Primary
D14330
MN

Other

Enumeration date
07/06/2018
Last updated
12/05/2021
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