Thomas E Grzeskowiak DDS

NPI 1053422808 - Dentist - 1223G0001X

NPI Details
NPI 1053422808
Gender Male
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1430 HIGHWAY 96
WHITE BEAR LAKE MN, 55110, US
Phone (651) 426-9502
Fax (651) 653-2158
Business Location
MALL CODE 21113A
PO BOX 1309
MINNEAPOLIS MN, 55440-1308, US
Phone (952) 883-5151
Fax (952) 883-5160
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number 7948
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According to our database, Dr. Thomas E Grzeskowiak DDS NPI is 1053422808, taxonomy code is 1223G0001X and license number is 7948, license state is located at Minnesota. Thomas E Grzeskowiak DDS physically located at 1430 Highway 96, White Bear Lake MN, 55110. NPI Number Thomas E Grzeskowiak DDS has the Individual type.

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1053422808 NPI number is provided on an as is basis without warranty of any kind. 1053422808 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas E Grzeskowiak DDS are for informational purposes only.