Organization · Type 2 NPI

Pdb, Dds, PA

Dental Clinic/Center · Maple Grove, MN

NPI number 1942809637 Active

Practice location

12736 Bass Lake Rd
Maple Grove, MN 55369-6307

Call (763) 559-2082 Map

Mailing address

1485 County Road 101 N
Plymouth, MN 55447-3053

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

4 other providers at this address

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About NPI 1942809637

Pdb, Dds, PA's National Provider Identifier is 1942809637, issued on Oct 22, 2020. 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 Oct 22, 2020.