Organization
GREAT RIVER DENTAL P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ROZINKA DDS (OWNER)
(651) 222-0986
Entity
Organization
Contact information
Practice address
375 JACKSON ST, SAINT PAUL, MN 55101-1810
(651) 222-0983
(651) 265-8036
Mailing address
375 JACKSON ST, SAINT PAUL, MN 55101-1806
(651) 222-0983
(651) 265-8036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/08/2005
Last updated
08/22/2020
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