Maple Grove Smiles Dentistry | |
12775 Elm Creek Blvd N Maple Grove MN 55369 | |
(763) 218-7005 | |
(763) 416-0498 |
Full Name | Maple Grove Smiles Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 12775 Elm Creek Blvd N, Maple Grove, Minnesota |
Authorized Official Name and Position | Michael J Perpich (OWNER) |
Authorized Official Contact | 7632187005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Maple Grove Smiles Dentistry 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Maple Grove Smiles Dentistry 12775 Elm Creek Blvd N Maple Grove MN 55369 Ph: (763) 218-7005 |
NPI Number | 1396129433 |
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Provider Enumeration Date | 07/18/2015 |
Last Update Date | 07/18/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396129433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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