| Maple Brook Dental Center Of Mn Ltd | |
|
8401 W Broadway Ave Brooklyn Park MN 55445-2266 | |
| (763) 424-5313 | |
| (763) 424-4503 |
| Full Name | Maple Brook Dental Center Of Mn Ltd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8401 W Broadway Ave, Brooklyn Park, Minnesota |
| Authorized Official Name and Position | Danh Lam (OWNER DENTIST/PRESIDENT) |
| Authorized Official Contact | 7637422773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Brook Dental Center Of Mn Ltd 8401 W Broadway Ave Brooklyn Park MN 55445-2266 Ph: (763) 424-5313 | Maple Brook Dental Center Of Mn Ltd 8401 W Broadway Ave Brooklyn Park MN 55445-2266 Ph: (763) 424-5313 |
| NPI Number | 1902614167 |
|---|---|
| Provider Enumeration Date | 12/20/2024 |
| Last Update Date | 12/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902614167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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