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Contact Information

GRACE A WARREN, DDS
4110 CEDAR AVE S
MINNEAPOLIS, MN55407-3433
 Phone: 612-721-1272
 Fax: 612-721-1803
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for GRACE A WARREN · (Female)

NPI Number 1174638613
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/21/2006
Last updated 12/09/2016 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 9504
  • MN Medicaid 143320200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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