NPI 1003086810

Roger Grandgenett DDS PA

Organisation Dentist Blue Earth, MN

Practice location

Address: 621 E 7th St, Blue Earth, MN 56013-2516
Phone: (507) 526-2170
Fax: (507) 526-7437

Authorised official

Name: Roger Henry Grandgenett
Title: Owner
Phone: (507) 526-2170

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D10869 (MN)

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Registry record

NPI: 1003086810
Entity type: Organization
NPI issued: 7 Mar 2008
Record last updated: 7 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.