GRAND AVENUE DENTAL, LLC is a dental clinic center in Saint Paul, MN. GRAND AVENUE DENTAL, LLC NPI is 1154933661. The provider is registered as an organization entity type.
The provider's business location address is:
960 GRAND AVE
SAINT PAUL, MN
ZIP 55105-014
Phone: (651) 291-9667
The provider's authorized official is Robert S Tyler .
The authorized official title is Business Manager and has the following contact phone number (651) 291-9667.
The enumeration date for this NPI number is 8/18/2020 and was last updated on 8/18/2020.