GRACIE COMEAU

Dental Therapist

Active Individual
NPI: 1114627205

Practice Address

2258 BUNKER LAKE BLVD NW
Andover, MN 55304

Phone: (793) 390-8995

Specialties

Specialty Code Primary License
Dental Hygienist 124Q00000X No H11422 (MN)
Dental Therapist 125J00000X Yes DT164 (MN)

Frequently Asked Questions

NPI 1114627205 is the National Provider Identifier for GRACIE COMEAU, a Dental Therapist provider located in Andover, MN. This NPI was enumerated on March 7, 2023.
GRACIE COMEAU practices at 2258 BUNKER LAKE BLVD NW, Andover, MN 55304.

Quick Facts

NPI
1114627205
Type
Individual
Enumerated
Mar 7, 2023
Last Updated
Jun 21, 2023

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