Organization
GREAT LAKES CHILDRENS DENTAL CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMI M GUIRGUIS DDS MS (OWNER)
(218) 525-5100
Entity
Organization
Contact information
Practice address
2710 PIEDMONT AVENUE, DULUTH, MN 55811
(218) 525-5100
(218) 722-3883
Mailing address
2710 PIEDMONT AVENUE, DULUTH, MN 55811
(218) 525-5100
(218) 722-3883
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
D11559
MN
1223P0221X
Pediatric Dentistry
D10919
MN
Other
Enumeration date
08/09/2006
Last updated
09/11/2025
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