Crow River Dental

NPI #1801166954 in Delano, Minnesota

Provider Information

NPI Number: 1801166954
Entity Type: Organization
Organization Name: Crow River Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 6, 2012
Last Updated: Jan 6, 2012

Practice Location

Address: 405 BABCOCK BLVD. E
Address 2: SUITE 130
City: Delano
State: Minnesota
ZIP Code: 55328
Phone: (763) 276-1410

Authorized Official

Name: MR. GREGORY STEPHEN GLAVAN, D.D.S.
Title: DENTIST/OWNER
Phone: (763) 276-1410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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