Provider First Line Business Practice Location Address:
GIEBENHAIN DENTAL ASSOCIATES, P.A.
Provider Second Line Business Practice Location Address:
5851 DULUTH STREET # 103
Provider Business Practice Location Address City Name:
GOLDEN VALLEY
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55422
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
763-545-0330
Provider Business Practice Location Address Fax Number:
763-277-2096
Provider Enumeration Date:
07/12/2018