Roger Grandgenett DDS PA

NPI #1003086810 in Blue Earth, Minnesota

Provider Information

NPI Number: 1003086810
Entity Type: Organization
Organization Name: Roger Grandgenett DDS PA
Primary Specialty: Dentist
Enumeration Date: Mar 7, 2008
Last Updated: Mar 7, 2008

Practice Location

Address: 621 E 7TH ST
City: Blue Earth
State: Minnesota
ZIP Code: 56013-2516
Phone: (507) 526-2170

Authorized Official

Name: DR. ROGER HENRY GRANDGENETT, D.D.S.
Title: OWNER
Phone: (507) 526-2170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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