Brook West Family Dentistry Pa | |
7950 Main St #205 Maple Grove MN 55369 | |
(763) 561-2273 | |
(763) 561-5761 |
Full Name | Brook West Family Dentistry Pa |
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Speciality | Dentist |
Location | 7950 Main St, Maple Grove, Minnesota |
Authorized Official Name and Position | Susan K Johnson (BUSINESS MANAGER) |
Authorized Official Contact | 7635612273 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brook West Family Dentistry Pa 7950 Main St #205 Maple Grove MN 55369 Ph: (763) 561-2273 | Brook West Family Dentistry Pa 7950 Main St #205 Maple Grove MN 55369 Ph: (763) 561-2273 |
NPI Number | 1497827869 |
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Provider Enumeration Date | 11/14/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1497827869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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