Provider First Line Business Practice Location Address:
1265 6TH ST
Provider Second Line Business Practice Location Address:
GRANITE FALLS FAMILY DENTISTRY
Provider Business Practice Location Address City Name:
GRANITE FALLS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56241
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
320-269-6416
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/15/2010