Comeau, Gracie Isabella

Comeau, Gracie Isabella is an individual health care provider with primary practice located at 2258 Bunker Lake Blvd Nw , Andover MN 55304-3900. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Hygienist, Dental Providers / Dental Therapist. Dental Providers / Dental Therapist is her primary health care specialty. Comeau, Gracie Isabella can be contacted via phone (793) 390-8995.

Contact Information

Primary practice address
2258 Bunker Lake Blvd Nw Andover MN 55304-3900
Phone: (793) 390-8995
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H11422 Minnesota
Dental Providers / Dental Therapist 125J00000X DT164 Minnesota

Profile Details

NPI number 1114627205
LBN Legal business name Comeau, Gracie Isabella
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2023
Last updated Jun 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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