Organization · Type 2 NPI

Jamie L Sledd

Dental Clinic/Center · Maple Grove, MN

NPI number 1184889073 Active

Practice location

12000 Elm Creek Blvd N, Suite 230
Maple Grove, MN 55369-7073

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XD10656 (MN)

Dental Clinic/Center: Definition to come...

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About NPI 1184889073

Jamie L Sledd's National Provider Identifier is 1184889073, issued on Jul 21, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Maple Grove, MN. The record was last updated on Jul 21, 2008.