DR. Grayson T West, D.D.S.

NPI #1013355643 in New Brighton, Minnesota

Provider Information

NPI Number: 1013355643
Entity Type: Individual
Name: DR. Grayson T West, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jun 5, 2013
Last Updated: Nov 17, 2013

Practice Location

Address: 2459 15TH ST NW
Address 2: STE. C
City: New Brighton
State: Minnesota
ZIP Code: 55112-5594
Phone: (651) 631-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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