Individual provider · Type 1 NPI

Lyle Arrian Corpuz Carlos, DMD

General Practice Dentistry · Maple Grove, MN

NPI number 1942793989 Active

Practice location

12737 Elm Creek Blvd N
Maple Grove, MN 55369-7045

Call (763) 218-7005 Map

Mailing address

2905 Harriet Ave Apt 107
Minneapolis, MN 55408-1651

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD14046 (MN)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1942793989

Lyle Arrian Corpuz Carlos, DMD's National Provider Identifier is 1942793989, issued on Jun 13, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Maple Grove, MN. The record was last updated on Jun 13, 2018.