| Metro Dentalcare Specialty Center Maple Grove Endodontics | |
|
15785 95th Ave N Maple Grove MN 55369-4404 | |
| (763) 233-4140 | |
| Not Available |
| Full Name | Metro Dentalcare Specialty Center Maple Grove Endodontics |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15785 95th Ave N, Maple Grove, Minnesota |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Dentalcare Specialty Center Maple Grove Endodontics 15785 95th Ave N Maple Grove MN 55369-4404 Ph: (763) 233-4140 | Metro Dentalcare Specialty Center Maple Grove Endodontics 15785 95th Ave N Maple Grove MN 55369-4404 Ph: (763) 233-4140 |
| NPI Number | 1487302113 |
|---|---|
| Provider Enumeration Date | 03/11/2022 |
| Last Update Date | 01/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487302113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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