Organization
TOWN DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BECKY ROSE GRIMM (OFFICE MANAGER)
(952) 474-6133
Entity
Organization
Contact information
Practice address
425 2ND ST, EXCELSIOR, MN 55331-2038
(952) 474-6133
(952) 474-7361
Mailing address
425 2ND ST, EXCELSIOR, MN 55331-2038
(952) 474-6133
(952) 474-7361
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/02/2006
Last updated
08/22/2020
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