Individual
GREG EDWARD HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1068 S LAKE STREET, #209, FOREST LAKE, MN 55025
(651) 464-2248
(651) 464-7944
Mailing address
1068 S LAKE STREET, #209, FOREST LAKE, MN 55025
(651) 464-2248
(651) 464-7944
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8009
MN
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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