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:
Health care specialties
Specialty | Code | License # | 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 last year |
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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