Organization
COMMUNITY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA JILL GRABOUSKI D. D. S. (DENTIST)
(712) 253-5703
Entity
Organization
Contact information
Practice address
1926 COLLEGEVIEW RD E, HC #116, ROCHESTER, MN 55904-8201
(507) 258-4046
Mailing address
3191 LAKERIDGE DR NW, ROCHESTER, MN 55901-6565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13437
MN
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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