Dental Gt
NPI #1265114060 in East Grand Forks, Minnesota
Provider Information
- NPI Number
- 1265114060
- Entity Type
- Organization
- Organization Name
- Dental Gt
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 2, 2023
- Last Updated
- Aug 2, 2023
Practice Location
- Address
- 1416 CENTRAL AVE NE
- City
- East Grand Forks
- State
- Minnesota
- ZIP Code
- 56721-1605
- Phone
- (218) 773-3004
Authorized Official
- Name
- DR. GARRET THORLAKSON, DMD
- Title
- DENTIST, CEO
- Phone
- (701) 265-2931
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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