Grayson T West, D.D.S. Valid NPI
Individual provider · Dentist · New Brighton, MN
- NPI
- 1013355643
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- D13219 (MN)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2013-06-05
- Last updated
- 2013-11-17
Practice location
2459 15th St Nw, Ste. C
New Brighton, MN 55112-5594
(651) 631-3100