Organization · Type 2 NPI

Great River Dental P.a.

General Practice Dentistry · St. Paul, MN

NPI number 1811972292 Active

About NPI 1811972292

Great River Dental P.a.'s National Provider Identifier is 1811972292, issued on Dec 8, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Paul, MN. The record was last updated on Aug 22, 2020.