Provider Demographics
NPI:1033451349
Name:METROPOLITAN ENDODONTICS LTD.
Entity Type:Organization
Organization Name:METROPOLITAN ENDODONTICS LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:GRUTZNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:952-435-0370
Mailing Address - Street 1:8401 SEASONS PKWY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-3414
Mailing Address - Country:US
Mailing Address - Phone:651-735-6334
Mailing Address - Fax:651-735-6430
Practice Address - Street 1:8401 SEASONS PKWY
Practice Address - Street 2:SUITE 400
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-3414
Practice Address - Country:US
Practice Address - Phone:651-735-6334
Practice Address - Fax:651-735-6430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-25
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN103591223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty